Organization
HERNDON HEALTHCARE, INC.
Active
Other names
Herndon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA TAYIAN HURST PHARM.D. (VICE PRESIDENT/PHARMACIST-IN-CHARGE)
(559) 297-9002
Entity
Organization
Contact information
Practice address
1827 E. FIR AVENUE, SUITE 101, FRESNO, CA 93720
(559) 297-9002
(559) 297-6838
Mailing address
1827 E. FIR AVENUE, SUITE 101, FRESNO, CA 93720
(559) 297-9002
(559) 297-6838
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY44976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA449760
—
CA
01
—
ZZZ07884Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/28/2005
Last updated
08/22/2020
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