Organization
RALEYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLINT PENDERGRAFT PHARMD (VP PHARMACY AND HLI)
(916) 373-6146
Entity
Organization
Contact information
Practice address
211 WEST EAST AVE, CHICO, CA 95926-7202
(530) 899-3790
Mailing address
500 WEST CAPITOL AVE., WEST SACRAMENTO, CA 95605-2696
(916) 373-6146
(916) 372-6226
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY53494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509135
NABP
—
05
—
1609986363
—
CA
Enumeration date
08/30/2006
Last updated
06/01/2015
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