Organization
SEBASTOPOL FAMILY PHARMACY, INC.
Active
Organization
SEBASTOPOL FAMILY PHARMACY, INC.
Active
Other names
Sebastopol Family Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA NICOLA (PRESIDENT/OWNER)
(707) 869-9055
Entity
Organization
Contact information
Practice address
652 PETALUMA AVE STE I1, SEBASTOPOL, CA 95472-4266
(707) 869-9055
(707) 869-9861
Mailing address
16251 MAIN ST, GUERNEVILLE, CA 95446-8300
(707) 869-9055
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176893
PK
—
Enumeration date
04/06/2018
Last updated
04/06/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up