Organization · NPI-2

Golden Rose Pharmacy INC.

Pharmacy, Community/Retail Pharmacy · Roseville, CA

NPI number1174376370

StatusActive

Last updated in NPPESApr 8, 2024

Details

NPI: 1174376370
Entity type: Organization (NPI-2)
Legal business name: Golden Rose Pharmacy INC.
Organization subpart: No
Enumeration date: Apr 8, 2024
Certification date: Apr 8, 2024
Last updated: Apr 8, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–	Yes
333600000X	Pharmacy	–	–
3336C0002X	Pharmacy, Clinic Pharmacy	–	–
3336H0001X	Pharmacy, Home Infusion Therapy Pharmacy	–	–

Practice location

4070 Baseline Rd Ste 110
Roseville, CA 95747-6489

Phone 916-572-1155 · Fax 916-403-7198

Mailing address

4070 Baseline Rd Ste 110
Roseville, CA 95747-6489

Phone 916-572-1155 · Fax 916-403-7198

Authorized official

Fariba Clapper
Owner & Pic
9253395826

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