Olivehurst Drug Store INC
Pharmacy, Community/Retail Pharmacy in Olivehurst, CA. Organization (NPI-2).
NPI number1255464871
StatusActive
Last updated in NPPESMar 28, 2017
Details
- NPI
- 1255464871
- Entity type
- Organization (NPI-2)
- Legal business name
- Olivehurst Drug Store INC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2007
- Last updated
- Mar 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY48813 | CA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Olivehurst Drug Store (Doing Business As)
Practice location
4897 Olivehurst AveOlivehurst, CA 95961-4225
Phone 530-743-5451 · Fax 530-743-3713
Mailing address
4897 Olivehurst AvePo Box 720
Olivehurst, CA 95961-4225
Phone 530-743-5431 · Fax 530-743-3731
Authorized official
Hector Camacho
Owner/Pic
5307435451
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