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Organization
YOUNGS PAYLESS PHARMACY
Active
Organization
YOUNGS PAYLESS PHARMACY
Active
Other names
YOUNGS PAYLESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HUNNELL BS PHARMACY (PHARMACST-IN-CHARGE)
(209) 727-3762
Entity
Organization
Contact information
Practice address
18980 N HIGHWAY 88, LOCKEFORD, CA 95237-9787
(209) 727-3762
(209) 727-3903
Mailing address
PO BOX 122, LOCKEFORD, CA 95237-0122
(209) 727-3762
(209) 727-3903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000134
PK
—
05
—
PHA419440
—
CA
Enumeration date
03/02/2007
Last updated
03/16/2017
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