Organization
PSR WELLNESS LLC
Active
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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