Organization
FREMONT CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HENRY MIGLIORI RPH (OWNER)
(209) 948-0546
Entity
Organization
Contact information
Practice address
2525 E FREMONT ST, STOCKTON, CA 95205-3906
(209) 948-0546
(209) 948-9307
Mailing address
2525 E FREMONT ST, STOCKTON, CA 95205-3906
(209) 948-0546
(209) 948-9307
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509426
NCPDP
CA
05
—
PHA 30614
—
CA
Enumeration date
09/28/2006
Last updated
08/22/2020
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