Organization
RIPON DRUG STORE INC
Active
Other names
RIPON DRUG AND GIFT
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LARSON PHARM D (OWNER)
(209) 599-4271
Entity
Organization
Contact information
Practice address
410 W MAIN ST, RIPON, CA 95366-2426
(209) 599-4271
(209) 599-3537
Mailing address
410 W MAIN ST, RIPON, CA 95366-2426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHA22163
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0520545
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA221630
—
CA
Enumeration date
01/10/2006
Last updated
09/11/2025
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