John D Manuele & Banjamin C Leon
Pharmacy, Community/Retail Pharmacy in Visalia, CA. Organization (NPI-2).
NPI number1184635674
StatusActive
Last updated in NPPESMay 25, 2016
Details
- NPI
- 1184635674
- Entity type
- Organization (NPI-2)
- Legal business name
- John D Manuele & Banjamin C Leon
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- May 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY39863 | CA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- South Court Pharmacy (Doing Business As)
Practice location
1620 S Court StVisalia, CA 93277-4962
Phone 559-738-8800 · Fax 559-733-2636
Mailing address
1620 S Court StVisalia, CA 93277-4962
Phone 559-738-8800 · Fax 559-733-2636
Authorized official
Ben Leon
Owner
5597388800
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All 17 Community/Retail Pharmacy providers in Visalia · All 5,100 providers in Visalia
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