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Organization

BOULDER CREEK PHARMACY INC

Active
Other names
FELTON PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LOCATELLI RPH (OWNER)
(831) 338-2144
Entity
Organization

Contact information

Practice address
6240 HIGHWAY 9, FELTON, CA 95018-9713
(831) 335-4461
Mailing address
6240 HIGHWAY 9, FELTON, CA 95018-9713

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY39145
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0501280
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHA188600
CA
Enumeration date
01/17/2007
Last updated
12/02/2008
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