Organization
JGS PHARMACIES INC
Active
Other names
DOLLAR DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GUTTORMSEN (V.P., OWNER, PIC)
(707) 575-1313
Entity
Organization
Contact information
Practice address
1055 W COLLEGE AVE, SANTA ROSA, CA 95401-5059
(707) 575-1313
(707) 575-0104
Mailing address
1055 W COLLEGE AVE, SUITE C, SANTA ROSA, CA 95401-5059
(707) 575-1313
(707) 575-0104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45936
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005225
PK
—
05
—
PHA429030
—
CA
Enumeration date
07/07/2005
Last updated
03/17/2017
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