Organization
THREE RIVERS PHARMACY INC
Active
Organization
THREE RIVERS PHARMACY INC
Active
Other names
Three Rivers Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STANLEY BSPHARM (RPH.)
(559) 561-4217
Entity
Organization
Contact information
Practice address
40893 SIERRA DR, THREE RIVERS, CA 93271-9583
(559) 561-4217
(559) 561-4168
Mailing address
PO BOX 415, THREE RIVERS, CA 93271-0415
(559) 561-4217
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141848
PK
—
05
—
PHA19470
—
CA
Enumeration date
09/13/2006
Last updated
02/16/2017
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