Organization
PHARMBLUE CALIFORNIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH POHL (CEO/AO)
(724) 779-4720
Entity
Organization
Contact information
Practice address
235 MAIN ST, POINT ARENA, CA 95468
(707) 882-3025
(707) 882-3084
Mailing address
PO BOX 133, POINT ARENA, CA 95468-0133
(724) 779-4720
(724) 779-4721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53368
CA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073671293
—
CA
01
—
2153548
PK
—
Enumeration date
12/04/2006
Last updated
04/26/2018
About Stedi
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