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Organization
TULARE LOCAL HEALTH CARE DISTRICT
Active
Organization
TULARE LOCAL HEALTH CARE DISTRICT
Active
Other names
Tulare's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SHIMAMOTO PHARMD (INTERIM CEO)
(559) 688-0821
Entity
Organization
Contact information
Practice address
906 N CHERRY ST, TULARE, CA 93274-2210
(559) 684-7979
(559) 684-1157
Mailing address
906 N CHERRY ST, TULARE, CA 93274-2210
(559) 684-7979
(559) 684-1157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5420935
—
CA
01
—
5601314
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/15/2007
Last updated
11/06/2012
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