Organization
THOMAS SHILTON CORPORATION
Active
Other names
College Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AKSHAI PATEL (OWNER)
(831) 622-0988
Entity
Organization
Contact information
Practice address
90 N ASHWOOD AVE, VENTURA, CA 93003-1810
(805) 642-4135
(805) 832-6245
Mailing address
90 N ASHWOOD AVE, VENTURA, CA 93003-1810
(805) 642-4135
(805) 832-6245
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50508
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128324
PK
—
05
—
PHA415450
—
CA
Enumeration date
09/20/2005
Last updated
08/15/2016
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