Organization
MAIN FORK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN BURNHAM (CEO)
(559) 566-6801
Entity
Organization
Contact information
Practice address
41841 SIERRA DR, THREE RIVERS, CA 93271-9795
(559) 566-6801
Mailing address
41841 SIERRA DR, THREE RIVERS, CA 93271-9795
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
05/06/2025
Last updated
06/11/2025
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