Organization
TOMSHIRE PHARMACY INC
Active
Other names
TomShire Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ADAMS (OWNER)
(760) 949-2900
Entity
Organization
Contact information
Practice address
14101 MAIN ST STE 103, HESPERIA, CA 92345-8098
(760) 949-2900
(760) 949-0100
Mailing address
14101 MAIN ST STE 103, HESPERIA, CA 92345-8098
(760) 949-2900
(760) 949-0100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5643603
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/18/2012
Last updated
07/02/2012
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