Organization
BEL AIR MARKET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLINT PENDERGRAFT PHARMD (VP PHARMACY AND HLI)
(916) 373-6146
Entity
Organization
Contact information
Practice address
1885 EAST GIBSON ROAD, WOODLAND, CA 95776-5163
(530) 668-4448
Mailing address
500 WEST CAPITOL AVE., WEST SACRAMENTO, CA 95605-2696
(916) 373-6146
(916) 372-6226
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5614373
NCPDP
—
05
—
PHA469480
—
CA
Enumeration date
08/30/2006
Last updated
12/09/2010
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