Organization
LIMA'S PROFESSIONAL PHARMACY, INC.
Active
Organization
LIMA'S PROFESSIONAL PHARMACY, INC.
Active
Other names
Lima's Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BREDE LIMA R.PH. (PRESIDENT)
(707) 441-8530
Entity
Organization
Contact information
Practice address
2097 HARRISON AVE, EUREKA, CA 95501-3211
(707) 441-8500
(707) 443-7608
Mailing address
2097 HARRISON AVE, EUREKA, CA 95501-3211
(707) 441-8500
(707) 443-7608
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43124
CA
3336C0004X
Compounding Pharmacy
99030
CA
3336C0004X
Compounding Pharmacy
PHY43124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHY431240
—
CA
Enumeration date
11/01/2006
Last updated
04/09/2009
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