Organization
EAST MAIN MEDICAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILL CLAY (OWNER)
(209) 463-1191
Entity
Organization
Contact information
Practice address
2524 E MAIN ST, STE B, STOCKTON, CA 95205-6523
(209) 463-1191
(209) 463-3229
Mailing address
2524 E MAIN ST, STE B, STOCKTON, CA 95205-6523
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY37064
CA
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548365
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA370640
—
CA
Enumeration date
12/26/2006
Last updated
09/11/2025
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