Organization
CABRILLO PHARMACY, INC.
Active
Other names
Cabrillo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMAS LEARK (PRESIDENT)
(805) 498-6615
Entity
Organization
Contact information
Practice address
146 N BRENT ST, VENTURA, CA 93003-2810
(805) 643-9939
(805) 643-9342
Mailing address
146 N BRENT ST, VENTURA, CA 93003-2810
(805) 643-9939
(805) 643-9342
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115771
PK
—
Enumeration date
08/31/2006
Last updated
06/26/2019
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