Organization
STOCKTON DRUG
Active
Other names
GALT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRATAP ANNE (DIRECTOR/PIC)
(209) 251-7535
Entity
Organization
Contact information
Practice address
1000 C ST, SUITE:35, GALT, CA 95632-1751
(209) 251-7535
(209) 251-7772
Mailing address
1000 C ST, SUITE:35, GALT, CA 95632-1751
(209) 251-7535
(209) 251-7772
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
53344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152306
PK
—
01
—
PHY 53344
PHARMACY LICENSE
CA
Enumeration date
05/29/2015
Last updated
03/07/2023
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