Organization
SABRINA ENTERPRISES, INC.
Active
Other names
Dwaynes Friendly Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE NORTON WILSON R.PH. (OWNER/MANAGER)
(760) 872-2522
Entity
Organization
Contact information
Practice address
644 W LINE ST, BISHOP, CA 93514-3315
(760) 872-2497
(760) 872-3935
Mailing address
644 W LINE ST, BISHOP, CA 93514-3315
(760) 872-2497
(760) 872-3935
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHA35213
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0589777
NCPDP NUMBER
—
01
—
FLU11421F
FLU PROVIDER #
CA
05
—
PHA352130
—
CA
Enumeration date
12/21/2005
Last updated
03/06/2025
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