Organization
SRI RAJ INC.
Active
Other names
Northwest Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEEPA B KAPADIA R.PH (PHARMACIST/PHARMACY MANAGER)
(661) 589-7979
Entity
Organization
Contact information
Practice address
3409 CALLOWAY DR UNIT 602, BAKERSFIELD, CA 93312-2534
(661) 589-7979
(661) 589-7222
Mailing address
3409 CALLOWAY DR UNIT 602, BAKERSFIELD, CA 93312-2534
(661) 589-7979
(661) 589-7222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 51086
CA
3336C0003X
Community/Retail Pharmacy
PHY 51086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295089175
—
CA
Enumeration date
10/31/2012
Last updated
05/08/2013
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