Organization
CHURN CREEK PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD LOUIS FRUZZA RPH (PHARMACIST)
(530) 222-3038
Entity
Organization
Contact information
Practice address
3330 CHURN CREEK RD, SUITE A1, REDDING, CA 96002-2532
(530) 222-3038
(530) 222-0337
Mailing address
3330 CHURN CREEK RD, SUITE A1, REDDING, CA 96002-2532
(530) 222-3038
(530) 222-0337
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY324920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA324920
—
CA
Enumeration date
04/16/2007
Last updated
10/20/2009
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