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Organization

ODEDRA ENTERPRISES, INC.

Active
Other names
Crystal Medical Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BETTY L RIDDLE (OFFICE MANAGER)
(530) 588-1325
Entity
Organization

Contact information

Practice address
2809 OLIVE HWY, SUITE 160, OROVILLE, CA 95966-6131
(530) 533-1545
(530) 533-5963
Mailing address
2809 OLIVE HWY, SUITE 160, OROVILLE, CA 95966-6131
(530) 533-1545
(530) 533-5963

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
282E00000X
Long Term Care Hospital
3336C0003X
Community/Retail Pharmacy
Primary
PHY53577
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2157440
PK
05
461990
CA
Enumeration date
01/22/2007
Last updated
03/30/2026
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