Organization
SKYRIDGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HUSAK RPH (OWNER)
(530) 885-3739
Entity
Organization
Contact information
Practice address
601 AUBURN FOLSOM RD, AUBURN, CA 95603-5623
(530) 885-3739
(530) 885-1380
Mailing address
601 AUBURN FOLSOM RD, AUBURN, CA 95603-5623
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY21812
CA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0551792
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA218120
—
CA
Enumeration date
04/25/2007
Last updated
09/11/2025
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