Organization
LUCERNE PHARMACY INC
Active
Organization
LUCERNE PHARMACY INC
Active
Other names
LUCERNE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLAN SHEPHERD RPH (CEO AND PIC)
(707) 274-6643
Entity
Organization
Contact information
Practice address
6244 E HIGHWAY 20, LUCERNE, CA 95458-1316
(707) 274-6643
(707) 274-2469
Mailing address
PO BOX 1316, LUCERNE, CA 95458-1316
(707) 274-6643
(707) 274-2469
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989861
PK
—
Enumeration date
11/20/2006
Last updated
03/03/2016
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