Enderts Drug Store Inc in Crescent City - Pharmacy
Enderts Drug Store Inc - NPI 1568556967
Enderts Drug Store Inc is a Pharmacy in Crescent City, California. Enderts Drug Store Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Enderts Drug Store Inc is 1568556967. The last update date is 2023-03-07.
Enderts Drug Store Inc's current location address is 783 3rd St, Crescent City, California. You can contact this provider via phone number 7074644101 and fax number 7074647018. The mailing address for Enderts Drug Store Inc is 783 3rd St, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Enderts Drug Store Inc |
|---|---|
| Address | 783 3rd St, Crescent City, California |
| Phone Number | 7074644101 |
| Fax Number | 7074647018 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHAR |
|---|---|
| Authorized Official Name | Nichols Tom |
| Credentials | RPH |
| Telephone Number | 7074643532 |
NPI Number Detail
| NPI Number | 1568556967 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 783 3rd St |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955314316 |
| Phone Number | 7074644101 |
| Fax Number | 7074647018 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY35933 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 531005 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| PHA359330 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Enderts Drug Store Inc?
The Enderts Drug Store Inc has been issued the NPI (National Provider Identifier) 1568556967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Enderts Drug Store Inc's facilities are geographically located?
The facilities of Enderts Drug Store Inc are physically situated at the following location: 783 3Rd St, Crescent City, CA, 955314316.
What is the Enderts Drug Store Inc's area of specialization and corresponding taxonomy classification?
The Enderts Drug Store Inc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568556967 to Enderts Drug Store Inc?
The Centers for Medicare & Medicaid Services originally issued the 1568556967 to Enderts Drug Store Inc on 2006-10-03.
When was the information regarding Enderts Drug Store Inc most recently updated?
The details pertaining to the Enderts Drug Store Inc, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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