Organization
MISSION PHARMACY INC
Active
Other names
MISSION PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR CAMACHO RPH (OWNER/PIC)
(530) 743-5451
Entity
Organization
Contact information
Practice address
400 PLUMAS BLVD, STE 100, YUBA CITY, CA 95991-5081
(530) 674-7214
(530) 674-9238
Mailing address
400 PLUMAS BLVD, STE 100, YUBA CITY, CA 95991-5081
(530) 674-7214
(530) 743-3713
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45806
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001372
PK
—
05
—
PHA458060
—
CA
Enumeration date
02/15/2007
Last updated
12/10/2014
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