Kaweah Delta Employee Pharmacy
Pharmacy, Community/Retail Pharmacy in Visalia, CA. Organization (NPI-2).
NPI number1710013636
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1710013636
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaweah Delta Employee Pharmacy
- Organization subpart
- No
- Enumeration date
- Feb 26, 2007
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHE47013 | CA | Yes |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – |
Other names
- Kaweah Health Employee Pharmacy (Doing Business As)
Practice location
602 W Willow AveSte B
Visalia, CA 93291-6102
Phone 559-624-2920 · Fax 559-635-4142
Mailing address
602 W Willow AveSte B
Visalia, CA 93291-6102
Phone 559-624-2920 · Fax 559-635-4142
Authorized official
Ryan Gates
Outpatient Pharmacy Manager
5596242920
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All 17 Community/Retail Pharmacy providers in Visalia · All 5,100 providers in Visalia
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