Organization
OWENS HEALTHCARE - RETAIL PHARMACY, INC.
Active
Other names
Owens Pharmacy #25
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRIESEN (PRESIDENT)
(530) 246-1075
Entity
Organization
Contact information
Practice address
582 MAIN ST, WEED, CA 96094-2339
(530) 938-4135
(530) 938-4816
Mailing address
582 MAIN ST, WEED, CA 96094-2339
(530) 938-4135
(530) 938-4816
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5640948
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/10/2011
Last updated
03/02/2017
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