Organization
LINDHURST PHARMACY SERVICES INC
Active
Other names
Peach Tree Pharmacy Inc., Lindhurst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANANDA KUMAR BALAKRISHNAN (CEO)
(530) 741-9800
Entity
Organization
Contact information
Practice address
5991 LINDHURST AVE, MARYSVILLE, CA 95901-9590
(530) 741-9800
(530) 741-9832
Mailing address
5991 LINDHURST AVE, MARYSVILLE, CA 95901
(530) 741-9800
(530) 741-9832
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY54484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165714
PK
—
Enumeration date
10/28/2009
Last updated
09/25/2024
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