Organization
WATSONVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LINDBERG (PRESIDENT)
(831) 728-1818
Entity
Organization
Contact information
Practice address
1433 FREEDOM BLVD, WATSONVILLE, CA 95076-2742
(831) 728-1818
Mailing address
1433 FREEDOM BLVD, WATSONVILLE, CA 95076-2742
(831) 728-1818
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY48216
CA PHARMACY LICENSE
CA
05
—
PHY482160
—
CA
Enumeration date
06/27/2019
Last updated
03/07/2023
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