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Organization
YOUR DRUG STORE INC
Active
Organization
YOUR DRUG STORE INC
Active
Other names
YOUR DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH MARIE ALTMILLER PHARMD (PIC, CORPORATE SECRETARY)
(661) 325-2487
Entity
Organization
Contact information
Practice address
2303 NILES PT, BAKERSFIELD, CA 93306-4025
(661) 325-2487
(661) 325-0654
Mailing address
2303 NILES PT, BAKERSFIELD, CA 93306-4025
(661) 325-2487
(661) 325-0654
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY30792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028511
PK
—
05
—
PHA307920
—
CA
Enumeration date
01/17/2007
Last updated
10/20/2024
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