Pokerville Drug

NPI 1013928605 - Pharmacy - 3336C0003X

NPI Details
NPI 1013928605
Enumeration Date 08/10/2006
Last Updated 02/19/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAUL PAUL
Position OWNER
Phone (209) 245-3784
Fax (209) 245-4146
Practice Location
18170 HWY 49
SUITE A
PLYMOUTH CA, 95669, US
Phone (209) 245-3784
Fax (209) 245-4146
Business Location
18170 HWY 49
SUITE A
PLYMOUTH CA, 95669, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State California
License Number PHY39679
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According to our database, Pokerville Drug NPI is 1013928605, taxonomy code is 3336C0003X and license number is PHY39679, license state is located at California. Pokerville Drug physically located at 18170 Hwy 49, Plymouth CA, 95669. NPI Number 1033115704 has the healthcare provider type.

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1013928605 NPI number is provided on an as is basis without warranty of any kind. 1013928605 is maintained by the National Plan & Provider Enumeration System. The contents of Pokerville Drug are for informational purposes only.