Fort Bragg Pharmacy Inc

NPI 1841205440 - Pharmacy - 333600000X

NPI Details
NPI 1841205440
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANDREW ANDREW
Position PHCY MGR
Phone (707) 964-1057
Fax (707) 964-0837
Practice Location
189 BOATYARD DR
FORT BRAGG CA, 95437-5741, US
Phone (707) 964-1057
Fax (707) 964-0837
Business Location
189 BOATYARD DR
FORT BRAGG CA, 95437-5741, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State California
License Number PHY44371
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According to our database, Fort Bragg Pharmacy Inc NPI is 1841205440, taxonomy code is 333600000X and license number is PHY44371, license state is located at California. Fort Bragg Pharmacy Inc physically located at 189 Boatyard Dr, Fort Bragg CA, 95437-5741. NPI Number 1033115704 has the healthcare provider type.

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1841205440 NPI number is provided on an as is basis without warranty of any kind. 1841205440 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Bragg Pharmacy Inc are for informational purposes only.