Organization
MEDICINE SHOPPE 917
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up