Organization
FONSECA PHARMACY SERVICES, INC.
Active
Other names
Reedley Pro-Script Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN FONSECA (PHARMACIST/CEO)
(559) 285-6060
Entity
Organization
Contact information
Practice address
1045 G ST, REEDLEY, CA 93654-2935
(559) 637-7000
Mailing address
1045 G ST, REEDLEY, CA 93654-2935
(559) 637-7000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148211
PK
—
Enumeration date
12/08/2014
Last updated
12/08/2014
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