Organization
MEDICAL TREE PHARMACY INC
Active
Organization
MEDICAL TREE PHARMACY INC
Active
Other names
TOMS MEDICAL PHARMACY WESTSIDE
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WILLIAM MCFALL RPH (PHARMACIST)
(831) 426-4252
Entity
Organization
Contact information
Practice address
1203 MISSION ST, SANTA CRUZ, CA 95060
(831) 426-4252
(831) 471-0504
Mailing address
1203 MISSION ST, SANTA CRUZ, CA 95060
(831) 426-4252
(831) 471-0504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY375630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0567000
OTHER ID NUMBER
—
05
—
PHA375630
—
CA
Enumeration date
11/13/2006
Last updated
07/11/2008
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