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Organization
DIGNITY HEALTH
Active
Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Mercy Mt. Shasta Inpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
KIM MIRANDA (CHIEF FINANCIAL OFFICER)
(530) 225-6121
Entity
Organization
Contact information
Practice address
914 PINE ST, MOUNT SHASTA, CA 96067-2143
(530) 926-6111
(530) 225-7278
Mailing address
914 PINE ST, MOUNT SHASTA, CA 96067-2143
(530) 926-6111
(530) 225-7278
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HSP45527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0596657
NCPDP
—
05
—
PHB331890
—
CA
Enumeration date
03/29/2007
Last updated
06/10/2014
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