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Organization

WILLOW VALLEY PHARMACY, INC., DBA

Active
Other names
NEEDLES POINT PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD B POCOCK PHARM.D. (RESPONSIBLE PHARMACIST)
(760) 326-2312
Entity
Organization

Contact information

Practice address
1101 W BROADWAY ST, NEEDLES, CA 92363-2704
(760) 326-2312
(760) 326-4178
Mailing address
1101 W BROADWAY ST, NEEDLES, CA 92363-2704
(760) 326-2312
(760) 326-4178

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY33276
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-87482
NABP
CA
05
PHA332760
CA
Enumeration date
09/26/2005
Last updated
08/22/2020
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