Organization
TOWER PHARMACY, INC.
Active
Organization
TOWER PHARMACY, INC.
Active
Other names
QUESENBERRYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIN LEON NELLE R.PH. (PRESIDENT)
(209) 874-2138
Entity
Organization
Contact information
Practice address
12641 BENTLEY ST, WATERFORD, CA 95386-9011
(209) 874-2138
(209) 874-9853
Mailing address
12641 BENTLEY ST, WATERFORD, CA 95386-9011
(209) 874-2138
(209) 874-9853
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHY369720
—
CA
Enumeration date
07/12/2006
Last updated
05/31/2011
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