Petra Pharmacy Corp

  • 1104901131 NPI Number
  • |
  • Actived: 17 years ago
  • |
Petra Pharmacy Corp is a health care provider based in San Jacinto, CA. The NPI Number is 1104901131 and it has been active since 17 years ago. The specialty is Long Term Care Pharmacy, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Long Term Care Pharmacy services, Petra Pharmacy Corp is an excellent option. We are here to help you get the care you need.

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Overview of Petra Pharmacy Corp

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/26/2006
  • Last updated: 02/18/2020

Primary Scrop of Practice

  • Taxonomy Code: 3336L0003X
  • Specialty: Long Term Care Pharmacy
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1477 S San Jacinto Ave
    San Jacinto, CA 92583
  • Phone: 951-927-5710
  • Fax: 951-927-9834

Provider Practice Location

  • Address: 1477 S San Jacinto Ave
    San Jacinto, CA 92583
  • Phone: 951-927-5710
  • Fax: 951-927-9834

Authorized Official

  • Name: MR. Michael Edward Tadros R.PH.
  • Position/Title: Pharmacist
  • Telephone Number: 951-654-2791

Scope of Practice

  • Taxonomy Code: 3336C0003X
  • Specialty: Community/Retail Pharmacy
  • License Number: PHY54602
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: PHY54603
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: SBOP PERMIT

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Petra Pharmacy Corp?
  • A: The npi number for Petra Pharmacy Corp is 1104901131.
  • Q: What are Petra Pharmacy Corp's specialties?
  • A: Petra Pharmacy Corp's specialties are Long Term Care Pharmacy and different specialities.
  • Q: Where is Petra Pharmacy Corp business practice location?
  • A: Petra Pharmacy Corp business practice location is 1477 S San Jacinto Ave, San Jacinto, CA 92583.
  • Q: How to contact Petra Pharmacy Corp?
  • A: You can contact Petra Pharmacy Corp via 951-927-5710.
  • Q: What is the authorized official for Petra Pharmacy Corp?
  • A: The authorized office name is MR. Michael Edward Tadros R.PH. with position/title is Pharmacist and you can reach the authorized official via phone number 9516542791.
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