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Organization

PSR WELLNESS LLC

Active
Parent organization
PSR WELLNESS LLC
Other names
SMITH'S ST. HELENA PHARMACY, SMITHS ST HELENA PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
PSR WELLNESS LLC
Authorized official
MR. PRATAP KRISHNA ANNE (MANAGER)
(209) 298-1715
Entity
Organization

Contact information

Practice address
1390 RAILROAD AVE, SAINT HELENA, CA 94574-1124
(707) 963-2794
(707) 963-1954
Mailing address
1390 RAILROAD AVE, SAINT HELENA, CA 94574-1124
(707) 963-2794
(707) 963-1954

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY40633
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356498406
CA
01
1993716
PK
05
PHA406330
CA
Enumeration date
01/04/2007
Last updated
01/17/2025
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