Organization
MEADOWMONT PHARMACY INC
Active
Organization
MEADOWMONT PHARMACY INC
Active
Other names
San Andreas Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KENAN CROSBY (OWNER)
(209) 754-7110
Entity
Organization
Contact information
Practice address
45 E SAINT CHARLES ST STE C, SAN ANDREAS, CA 95249
(209) 920-7455
(209) 920-7457
Mailing address
PO BOX 128, TWAIN HARTE, CA 95383-0128
(209) 920-7455
(209) 920-7457
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
03/22/2023
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