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Organization
GERALD REICHELDERFER
Active
Organization
GERALD REICHELDERFER
Active
Other names
Hayfork Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD B. REICHELDERFER PHARM.D. (OWNER)
(530) 628-5231
Entity
Organization
Contact information
Practice address
77 MAIN ST, HAYFORK, CA 96041-0370
(530) 628-5231
(530) 628-1199
Mailing address
77 MAIN ST, PO BOX 370, HAYFORK, CA 96041-0370
(530) 628-5231
(530) 628-1199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA36152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA361520
—
CA
Enumeration date
07/25/2006
Last updated
06/20/2008
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