Organization
MOUNT SHASTA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY IBRAHIM (CEO/CFO/DIRECTOR)
(760) 987-6796
Entity
Organization
Contact information
Practice address
148 MORGAN WAY, MOUNT SHASTA, CA 96067
(530) 567-0270
Mailing address
148 MORGAN WAY, MOUNT SHASTA, CA 96067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up