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Organization
SISKIYOU PHARMACY SERVICES INC
Active
Organization
SISKIYOU PHARMACY SERVICES INC
Active
Other names
Medical Center Pharmacy / M C Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE K AMENS (CFO)
(530) 842-4302
Entity
Organization
Contact information
Practice address
742 SOUTH MAIN ST, YREKA, CA 96097
(530) 842-4301
(530) 842-9416
Mailing address
P.O. BOX 533, YREKA, CA 96097-3319
(530) 842-4302
(530) 842-3796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
35335
CA
183500000X
Pharmacist
Primary
44071
CA
183700000X
Pharmacy Technician
TCH48386
CA
183700000X
Pharmacy Technician
TCH65225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501189
NABP
—
05
—
PHA466320
—
CA
Enumeration date
08/14/2006
Last updated
10/08/2015
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