Organization
MOTHER LODE DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A. RADANOVICH RPH (PHARMACIST)
(209) 742-7600
Entity
Organization
Contact information
Practice address
5034 COAKLEY CIRCLE DR., MARIPOSA, CA 95338-2099
(209) 742-7600
(209) 742-7500
Mailing address
PO BOX 2099, MARIPOSA, CA 95338-2099
(209) 742-7600
(209) 742-7500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY31052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA310520
—
CA
Enumeration date
02/21/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us