Organization
CHARTER WAY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS MAGNASCO PHARMD (VICE PRESIDENT)
(209) 466-0411
Entity
Organization
Contact information
Practice address
201 W CHARTER WY, STOCKTON, CA 95206
(209) 466-2223
Mailing address
201 W CHARTER WY, STOCKTON, CA 95206
(209) 466-2223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHY20560
—
CA
Enumeration date
12/13/2006
Last updated
08/22/2020
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