Organization
BARTON HEALTHCARE SYSTEM
Active
Other names
Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PAUL DERBY (CFO)
(530) 543-5841
Entity
Organization
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
(530) 541-2512
Mailing address
PO BOX 9578, SOUTH LAKE TAHOE, CA 96158-9578
(530) 541-3420
(530) 541-2512
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
HSP21312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB213120
—
CA
Enumeration date
11/14/2008
Last updated
09/19/2012
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