Organization
CALIFORMACY INC
Active
Other names
WESTON RANCH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK NAVANEETHAN (PRESIDNET)
(209) 234-1020
Entity
Organization
Contact information
Practice address
3526 MANTHEY RD, STE H, STOCKTON, CA 95206-5301
(209) 234-1020
(209) 234-1825
Mailing address
3526 MANTHEY RD, STE H, STOCKTON, CA 95206-5301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530471
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
08/14/2008
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