Organization
SAN JOAQUIN COMMUNITY HOSPITAL
Active
Other names
Delano Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDAR THORDARSON (TREASURER)
(808) 263-5142
Entity
Organization
Contact information
Practice address
1401 GARCES HWY BLDG A, DELANO, CA 93215-3699
(661) 454-3762
(661) 721-5598
Mailing address
1401 GARCES HWY BLDG A, DELANO, CA 93215-3699
(661) 454-3762
(661) 721-5598
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168669
PK
—
05
—
ZZT4608G
—
CA
Enumeration date
04/21/2017
Last updated
01/13/2026
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