Organization
DURFEE PHARMACY INC
Active
Other names
DURFEE PHARMACY inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STACEY (OWNER PIC)
(626) 587-6639
Entity
Organization
Contact information
Practice address
3030 S HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745-5313
(626) 442-5015
(626) 442-7810
Mailing address
3030 S HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745-5313
(626) 442-5015
(626) 442-7810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50152
CA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5638412
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/17/2010
Last updated
09/29/2011
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