Organization
JDUB PHARMA
Active
Other names
The Medicine Shoppe #387
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS VARELA (MANAGER)
(805) 648-2724
Entity
Organization
Contact information
Practice address
2611 E THOMPSON BLVD, SUITE 103, VENTURA, CA 93003
(805) 648-2724
(805) 648-7562
Mailing address
2611 E THOMPSON BLVD, SUITE 103, VENTURA, CA 93003-2743
(805) 648-2724
(805) 648-7562
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY56114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0582189
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1700958584
—
CA
Enumeration date
11/15/2006
Last updated
03/07/2023
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