Organization
HEALTHPLUS PHARMACY INC
Active
Organization
HEALTHPLUS PHARMACY INC
Active
Other names
HEALTHPLUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANA NELSON (CEO PIC)
(805) 543-5966
Entity
Organization
Contact information
Practice address
948 E FOOTHILL BLVD STE A, SAN LUIS OBISPO, CA 93405-2701
(805) 543-5950
(805) 543-3160
Mailing address
948 E FOOTHILL BLVD STE A, SAN LUIS OBISPO, CA 93405-2701
(805) 543-5950
(805) 543-3160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43683
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0505834
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA436830
—
CA
Enumeration date
11/13/2006
Last updated
02/09/2012
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