Organization
GREATER PLACER PHARMACY, INC.
Active
Other names
GREATER PLACER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUYQUANG LE PHARM.D (PRESIDENT)
(530) 885-8582
Entity
Organization
Contact information
Practice address
3133 PROFESSIONAL DR STE 17, AUBURN, CA 95603-2463
(530) 885-8582
(530) 885-8539
Mailing address
3133 PROFESSIONAL DR, SUITE #17, AUBURN, CA 95603-2463
(530) 885-8582
(530) 885-8593
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5646231
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/04/2013
Last updated
07/18/2013
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