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Organization

OAK HEALTHCARE INC

Active
Other names
Hammer Lane Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
AMIR KHAN (OWNER,RPH,AO)
(209) 477-7100
Entity
Organization

Contact information

Practice address
2339 W HAMMER LN STE J, STOCKTON, CA 95209-2368
(209) 477-7100
(209) 477-7111
Mailing address
2339 W HAMMER LN STE J, STOCKTON, CA 95209-2368
(209) 477-7100
(209) 477-7111

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
56015
CA
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2176045
PK
Enumeration date
02/20/2018
Last updated
06/06/2018
About Stedi
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