Organization
BOB'S GREENLEY PHARMACY INC
Active
Other names
bob's greenley pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBERT WILLIAMS (PRESIDENT)
(209) 532-3139
Entity
Organization
Contact information
Practice address
800 DELNERO DR, SONORA, CA 95370-5221
(220) 953-2313
Mailing address
800 DELNERO DR, SONORA, CA 95370-5221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
45274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0565258
NABP
CA
05
—
PHA199720
—
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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