Organization
BBAD ENTERPRISES
Active
Other names
Central Coast Pharmacy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT FORNEY WATSON R.PH. (OWNER/DIRECTOR OF PHARMACY)
(805) 434-5999
Entity
Organization
Contact information
Practice address
590-A SOUTH MAIN ST, TEMPLETON, CA 93465-0280
(805) 434-5999
(805) 434-5968
Mailing address
PO BOX 280, TEMPLETON, CA 93465-0280
(805) 434-5999
(805) 434-5968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY43878
CA
3336C0004X
Compounding Pharmacy
Primary
PHY 43878
CA
Other
Enumeration date
08/08/2007
Last updated
08/01/2008
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