Organization
AMPLA HEALTH
Active
Other names
MADISON HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN H FLORES MD (PRESIDENT/CFO)
(530) 751-3772
Entity
Organization
Contact information
Practice address
2800 LINCOLN STREET, SUITE B, OROVILLE, CA 95966
(530) 282-4146
(530) 282-4359
Mailing address
935 MARKET ST, YUBA CITY, CA 95991-4217
(530) 282-4146
(530) 282-4359
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487157574
—
CA
01
—
33157
REGISTERED PHARMACIST
CA
01
—
37553
REGISTERED PHARMACIST
CA
01
—
49883
REGISTERED PHARMACIST
CA
Enumeration date
12/01/2014
Last updated
04/13/2026
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