Green Brothers Pharmacy, Inc in Stockton - Community/retail Pharmacy
Green Brothers Pharmacy, Inc - NPI 1619905221
Green Brothers Pharmacy, Inc is a Community/retail Pharmacy in Stockton, California. Green Brothers Pharmacy, Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Green Brothers Pharmacy, Inc is 1619905221. The last update date is 2011-04-15.
Green Brothers Pharmacy, Inc's current location address is 1617 N California St, Stockton, California. You can contact this provider via phone number 2099486435 and fax number 2092350241. The mailing address for Green Brothers Pharmacy, Inc is 1617 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Brothers Pharmacy, Inc |
|---|---|
| Address | 1617 N California St, Stockton, California |
| Phone Number | 2099486435 |
| Fax Number | 2092350241 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Rogan Edward |
| Credentials | PHARM.D. |
| Telephone Number | 2099486435 |
NPI Number Detail
| NPI Number | 1619905221 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2011-04-15 |
Provider Mailing Address Detail
| Address | 1617 N California St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952046117 |
| Phone Number | 2099486435 |
| Fax Number | 2092350241 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY17863 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 526915 | NCPDP PROVIDER IDENTIFICATION | ||
| PHA178630 | CA | -- |
Post Comment/ Review Below
What is the Green Brothers Pharmacy, Inc's unique identification number?
The Green Brothers Pharmacy, Inc has been assigned the NPI (National Provider Identifier) Number 1619905221 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Green Brothers Pharmacy, Inc's physical address?
The Green Brothers Pharmacy, Inc is physically located at 1617 N California St, in the city of Stockton, CA, with the postal code 952046117.
What is Green Brothers Pharmacy, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Green Brothers Pharmacy, Inc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619905221 to Green Brothers Pharmacy, Inc?
The Centers for Medicare & Medicaid Services assigned the 1619905221 to Green Brothers Pharmacy, Inc on 2006-06-30.
When was the information pertaining to Green Brothers Pharmacy, Inc most recently updated or revised?
The details related to Green Brothers Pharmacy, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-15.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN