Organization
LINDHURST PHARMACY SERVICES INC
Active
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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