Organization
GREATER FRESNO DEVELOPMENT CORP.
Active
Other names
Vista Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL WINTON RPH PHARMD (VP PHARMACIST)
(559) 255-3071
Entity
Organization
Contact information
Practice address
4233 E TULARE ST, FRESNO, CA 93702-3036
(559) 255-3071
(559) 255-5058
Mailing address
4233 E TULARE ST, FRESNO, CA 93702-3036
(559) 255-3071
(559) 255-5058
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY13036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA130360
—
CA
Enumeration date
11/07/2006
Last updated
08/22/2020
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