Organization
KJL CONSULTANTS INC
Active
Other names
Luke's Yreka Drug
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS WALSH (PRESIDENT)
(530) 842-2600
Entity
Organization
Contact information
Practice address
829 S MAIN ST, YREKA, CA 96097-3320
(530) 842-2600
(530) 842-5173
Mailing address
829 S MAIN ST, YREKA, CA 96097-3320
(530) 842-2600
(530) 842-5173
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659663714
—
CA
01
—
2130276
PK
—
Enumeration date
05/09/2011
Last updated
08/03/2016
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