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Organization
WATSONVILLE PHARMACY INC
Active
Organization
WATSONVILLE PHARMACY INC
Active
Other names
WATSONVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LINDBERG PHARMD (PRESIDENT)
(831) 722-2141
Entity
Organization
Contact information
Practice address
1433 FREEDOM BLVD, WATSONVILLE, CA 95076-2742
(831) 728-1818
(831) 728-8678
Mailing address
1433 FREEDOM BLVD, WATSONVILLE, CA 95076-2742
(831) 728-1818
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115035
PK
—
05
—
PHA482160
—
CA
Enumeration date
07/18/2006
Last updated
06/06/2016
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