Organization
MERCED COMMUNITY PHARMACY
Active
Other names
Merced Community Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PHUONG LE PHARM D (PRESIDENT)
(209) 722-1222
Entity
Organization
Contact information
Practice address
3349 G ST, STE D, MERCED, CA 95340-0978
(209) 722-1222
(209) 722-1212
Mailing address
3349 G ST, STE D, MERCED, CA 95340-0978
(209) 722-1222
(209) 722-1212
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY46938
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5614626
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/29/2005
Last updated
05/07/2008
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