Organization
PROVERI RX LLC
Active
Other names
Proveri Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVIS TRAN PHARMD (MANAGER)
(805) 300-3584
Entity
Organization
Contact information
Practice address
5713 N PERSHING AVE # A3, STOCKTON, CA 95207-4942
(888) 821-4174
Mailing address
5713 N PERSHING AVE # A3, STOCKTON, CA 95207-4942
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/06/2019
Last updated
05/04/2020
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