Organization
SILVER SPRAY PHARMACY
Active
Other names
SILVER SPRAY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEE (OWNER)
(661) 327-4248
Entity
Organization
Contact information
Practice address
2191 NILES ST, BAKERSFIELD, CA 93305-5168
(661) 327-4248
(661) 327-1025
Mailing address
2191 NILES ST, BAKERSFIELD, CA 93305-5168
(661) 327-4248
(661) 327-1025
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103-310-9319
—
CA
01
—
1996907
PK
—
Enumeration date
10/26/2005
Last updated
03/12/2024
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