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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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