# STOCKTON DRUG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GALT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568842003
- **Authorized official:** PRATAP ANNE (DIRECTOR/PIC)
- **Authorized official phone:** (209) 251-7535

## Contact information

- **Practice address:** 1000 C ST, SUITE:35, GALT, CA 95632-1751
- **Practice address phone:** (209) 251-7535
- **Practice address fax:** (209) 251-7772
- **Mailing address:** 1000 C ST, SUITE:35, GALT, CA 95632-1751
- **Mailing address phone:** (209) 251-7535
- **Mailing address fax:** (209) 251-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 53344 | CA | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2152306 | PK | — |
| 01 | — | PHY 53344 | PHARMACY LICENSE | CA |