Organization
DRG PHARMACY LLC
Active
Other names
HUENEME FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T WHITE (CEO/OWNER)
(805) 981-1171
Entity
Organization
Contact information
Practice address
401 N LOMBARD ST STE A, OXNARD, CA 93030-8032
(805) 488-8200
(805) 488-8211
Mailing address
401 N LOMBARD ST STE A, OXNARD, CA 93030-8032
(805) 488-8200
(805) 488-8211
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
53764
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023296449
—
CA
05
—
1023296449
—
ID
05
—
1023296449
—
MI
05
—
1023296449
—
MN
05
—
1023296449
—
MT
05
—
1023296449
—
NV
05
—
2973859
—
OH
05
—
553516
—
AZ
01
—
5630478
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6032569
—
WA
Enumeration date
02/07/2008
Last updated
08/16/2021
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