Organization
TOMER DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS SMITH (OWNER)
(559) 867-3013
Entity
Organization
Contact information
Practice address
3462 W MT WHITNEY AVE, RIVERDALE, CA 93656-9401
(559) 867-3013
(559) 867-2015
Mailing address
PO BOX 157, P.O. BOX 157, RIVERDALE, CA 93656-0157
(559) 867-3013
(559) 867-2015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY22990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003605
PK
—
05
—
PHA150570
—
CA
Enumeration date
09/21/2006
Last updated
01/23/2018
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