Organization
MEDICINE SHOPPE 917
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
PETER K KWOK (PARTNER)
(559) 625-5015
Entity
Organization
Contact information
Practice address
3507 W WALNUT AVE, VISALIA, CA 93277-4170
(559) 625-5015
(559) 625-1987
Mailing address
3507 W WALNUT AVE, VISALIA, CA 93277-4170
(559) 625-5015
(559) 625-1987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY40626
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0593497
NCPDP #
—
05
—
PHA406260
—
CA
Enumeration date
08/31/2006
Last updated
03/07/2023
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