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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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