Organization
DRACARYS HEALTH
Active
Other names
OMAC PHARMACY, OMAC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE MILES (PRESIDENT)
(805) 486-2688
Entity
Organization
Contact information
Practice address
901 W 7TH ST, OXNARD, CA 93030-6755
(805) 486-2688
(805) 487-8068
Mailing address
901 W 7TH ST, OXNARD, CA 93030-6755
(805) 486-2688
(805) 487-8068
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY48314
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1994287
PK
—
05
—
PHA408390
—
CA
Enumeration date
10/12/2006
Last updated
08/28/2019
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