Organization
D K DOKIMOS INC
Active
Other names
DOKIMOS EAST MAIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DOKIMOS RPH (PRES)
(530) 274-0100
Entity
Organization
Contact information
Practice address
640 E MAIN ST, STE 2, GRASS VALLEY, CA 95945-5854
(530) 274-0100
(530) 274-7500
Mailing address
640 E MAIN ST, STE 2, GRASS VALLEY, CA 95945-5854
(530) 274-0100
(530) 274-7500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46963
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588729917
—
CA
01
—
2113329
PK
—
Enumeration date
12/26/2006
Last updated
08/15/2024
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