Organization
PHARMKEE INC.
Active
Other names
Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WILCOX PHARM.D. (DIRECTOR)
(559) 846-9396
Entity
Organization
Contact information
Practice address
15051 W WHITESBRIDGE AVE, KERMAN, CA 93630-1013
(559) 846-9397
Mailing address
15051 W WHITESBRIDGE AVE, KERMAN, CA 93630-1013
(559) 846-9396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
54001
CA
335E00000X
Prosthetic/Orthotic Supplier
54001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54001
STATE OF CALIFORNIA HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
08/25/2005
Last updated
03/31/2011
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