Organization
PSR WELLNESS LLC
Active
Other names
SILVERADO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRATAP K ANNE (PHARMACY DIRECTOR)
(209) 298-1715
Entity
Organization
Contact information
Practice address
1473 - D LINCOLN AVENUE, CALISTOGA, CA 94515-1479
(707) 942-5115
(707) 942-2175
Mailing address
1473 - D LINCOLN AVENUE, CALISTOGA, CA 94515-1479
(209) 298-1715
(559) 369-2408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700946936
—
CA
01
—
2033136
PK
—
Enumeration date
12/11/2006
Last updated
03/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us