# WATSONVILLE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245891399
- **Authorized official:** JOHN LINDBERG (PRESIDENT)
- **Authorized official phone:** (831) 728-1818

## Contact information

- **Practice address:** 1433 FREEDOM BLVD, WATSONVILLE, CA 95076-2742
- **Practice address phone:** (831) 728-1818
- **Mailing address:** 1433 FREEDOM BLVD, WATSONVILLE, CA 95076-2742
- **Mailing address phone:** (831) 728-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2019
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY48216 | CA PHARMACY LICENSE | CA |
| 05 | — | PHY482160 | — | CA |