Parkwoods Drug in Stockton - Community/retail Pharmacy

Parkwoods Drug - NPI 1114078110

Parkwoods Drug is a Community/retail Pharmacy in Stockton, California. Parkwoods Drug practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Parkwoods Drug is 1114078110. The last update date is 2007-07-26.

Parkwoods Drug's current location address is 104 Lincoln Ctr, Stockton, California. You can contact this provider via phone number 2094751008 and fax number 2094751027. The mailing address for Parkwoods Drug is 104 Lincoln Ctr, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Parkwoods Drug
Address 104 Lincoln Ctr, Stockton, California
Phone Number 2094751008
Fax Number 2094751027
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHRM
Authorized Official Name Peters Michael
Telephone Number 2094751008

NPI Number Detail

NPI Number 1114078110
Provider Enumeration Date 2007-01-16
Last Updated Date 2007-07-26

Provider Mailing Address Detail

Address 104 Lincoln Ctr
City Stockton
State California (CA)
Post Code 95207
Phone Number 2094751008
Fax Number 2094751027

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PHY46901
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
5614323 OTHER ID NUMBER-COMMERCIAL NUM
5614323 OTHER ID NUMBER
PHA46901 CA --

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FAQs about Parkwoods Drug

What is the unique 10-digit identifier code assigned to Parkwoods Drug by the Centers for Medicare & Medicaid Services?

The Parkwoods Drug has been issued the NPI (National Provider Identifier) 1114078110 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Parkwoods Drug is physically located?

The Parkwoods Drug is physically situated at the following address: 104 Lincoln Ctr, Stockton, CA, 95207.

What is the area of specialization for Parkwoods Drug, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Parkwoods Drug is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114078110 to Parkwoods Drug?

The Centers for Medicare & Medicaid Services originally issued the 1114078110 to Parkwoods Drug on 2007-01-16.

When was the information pertaining to Parkwoods Drug most recently updated or revised?

The details related to Parkwoods Drug, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-26.

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