Organization
SHAFTER MEDICAL PHARMACY, LLC
Active
Other names
Shafter Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISKANDER M HUSSEIN RPH (PRESIDENT)
(661) 746-5600
Entity
Organization
Contact information
Practice address
825 CENTRAL VALLEY HWY, SUITE A, SHAFTER, CA 93263-2003
(661) 746-5600
(661) 746-5600
Mailing address
825 CENTRAL VALLEY HWY, SUITE A, SHAFTER, CA 93263-2003
(661) 746-5600
(661) 746-5600
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
48539
CA
3336C0003X
Community/Retail Pharmacy
Primary
48539
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
48539
CA
3336H0001X
Home Infusion Therapy Pharmacy
48539
CA
3336S0011X
Specialty Pharmacy
48539
CA
Other
Enumeration date
05/31/2007
Last updated
05/12/2020
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