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Organization
WILLOW CREEK PHARMACY INC
Active
Organization
WILLOW CREEK PHARMACY INC
Active
Other names
willow creek pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JORGENSON (VICE PRESIDENT)
(530) 629-3144
Entity
Organization
Contact information
Practice address
39050 HIGHWAY 299, WILLOW CREEK, CA 95573-0067
(530) 629-3144
(530) 629-4303
Mailing address
PO BOX 112, WILLOW CREEK, CA 95573-0112
(530) 629-3144
(530) 629-4303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550144
NCPDP NUMBER
—
Enumeration date
08/16/2006
Last updated
08/12/2020
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