East Main Medical Pharmacy in Stockton - Pharmacy

East Main Medical Pharmacy - NPI 1467517888

East Main Medical Pharmacy is a Pharmacy in Stockton, California. East Main Medical Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for East Main Medical Pharmacy is 1467517888. The last update date is 2020-08-22.

East Main Medical Pharmacy's current location address is 2524 E Main St, Stockton, California. You can contact this provider via phone number 2094631191 and fax number 2094633229. The mailing address for East Main Medical Pharmacy is 2524 E Main St, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Main Medical Pharmacy
Address 2524 E Main St, Stockton, California
Phone Number 2094631191
Fax Number 2094633229
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Clay Will
Telephone Number 2094631191

NPI Number Detail

NPI Number 1467517888
Provider Enumeration Date 2006-12-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2524 E Main St
City Stockton
State California (CA)
Post Code 952056523
Phone Number 2094631191
Fax Number 2094633229

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PHY37064
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
548365 OTHER ID NUMBER-COMMERCIAL NUM
PHA370640 CA --

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FAQs about East Main Medical Pharmacy

What is the unique identifier code issued to East Main Medical Pharmacy by the Centers for Medicare & Medicaid Services (CMS)?

The East Main Medical Pharmacy has been assigned the NPI (National Provider Identifier) 1467517888. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where East Main Medical Pharmacy is located?

The East Main Medical Pharmacy is situated at the following address: 2524 E Main St, Stockton, CA, 952056523.

What is East Main Medical Pharmacy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for East Main Medical Pharmacy is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1467517888 to East Main Medical Pharmacy?

The East Main Medical Pharmacy received its 1467517888 assignment from the Centers for Medicare & Medicaid Services on 2006-12-26.

When was the information regarding East Main Medical Pharmacy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to East Main Medical Pharmacy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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