Imgrx Sj Valley, Inc. in Mendota - Pharmacy
Imgrx Sj Valley, Inc. - NPI 1871695130
Imgrx Sj Valley, Inc. is a Pharmacy in Mendota, California. Imgrx Sj Valley, Inc. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Imgrx Sj Valley, Inc. is 1871695130. The last update date is 2022-09-20.
Imgrx Sj Valley, Inc.'s current location address is 121 Barboza St, Mendota, California. You can contact this provider via phone number 5596555000 and fax number 5596559604. The mailing address for Imgrx Sj Valley, Inc. is 121 Barboza St, Mendota, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imgrx Sj Valley, Inc. |
|---|---|
| Address | 121 Barboza St, Mendota, California |
| Phone Number | 5596555000 |
| Fax Number | 5596559604 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Brown Michael |
| Telephone Number | 2817494764 |
NPI Number Detail
| NPI Number | 1871695130 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2022-09-20 |
Provider Mailing Address Detail
| Address | 121 Barboza St |
|---|---|
| City | Mendota |
| State | California (CA) |
| Post Code | 936401901 |
| Phone Number | 5596555000 |
| Fax Number | 5596559604 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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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 |
|---|---|---|---|
| PHA462340 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Imgrx Sj Valley, Inc. by the Centers for Medicare & Medicaid Services?
The Imgrx Sj Valley, Inc. has been assigned the NPI (National Provider Identifier) 1871695130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Imgrx Sj Valley, Inc.?
The Imgrx Sj Valley, Inc. is situated at 121 Barboza St, in the city of Mendota, state of CA, with the zip code 936401901.
What is Imgrx Sj Valley, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Imgrx Sj Valley, Inc.'s specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871695130 to Imgrx Sj Valley, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1871695130 to Imgrx Sj Valley, Inc. on 2006-09-05.
When was the information pertaining to Imgrx Sj Valley, Inc. most recently updated or revised?
The details related to Imgrx Sj Valley, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2022-09-20.