Organization
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Active
Parent organization
ST. JOSEPH HEALTH SYSTEM
Other names
Redwood Memorial Hospital Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH HEALTH SYSTEM
Authorized official
MARIE ANTOINETTE SORCI (AREA DIRECTOR, REVENUE CYCLE)
(707) 269-4278
Entity
Organization
Contact information
Practice address
3300 RENNER DR, FORTUNA, CA 95540
(707) 725-7332
(707) 725-7235
Mailing address
3300 RENNER DR, FORTUNA, CA 95540-3120
(707) 725-7332
(707) 725-7235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
HSP40639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA406390
—
CA
Enumeration date
02/08/2007
Last updated
08/09/2018
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