Organization
JEFFERSON PHARMACY
Active
Other names
JEFFERSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BEATLE TRAN RPH (OWNER)
(916) 371-2022
Entity
Organization
Contact information
Practice address
1029 JEFFERSON BLVD STE A, WEST SACRAMENTO, CA 95691-3344
(916) 371-2022
(916) 371-2027
Mailing address
1029 JEFFERSON BLVD STE A, WEST SACRAMENTO, CA 95691-3344
(916) 371-2022
(916) 371-2027
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821081910
—
CA
01
—
2115818
PK
—
Enumeration date
11/13/2006
Last updated
03/22/2017
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