Organization
COBBLESTONE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA BURTON CALDWELL PHARM.D. (OWNER/PHARMACIST)
(530) 877-3712
Entity
Organization
Contact information
Practice address
6585 CLARK RD, SUITE 100, PARADISE, CA 95969-3500
(530) 877-3712
(530) 877-5739
Mailing address
6585 CLARK RD, SUITE 100, PARADISE, CA 95969-3500
(530) 877-3712
(530) 877-5739
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY37092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-30281
NCPDP NUMBER
CA
05
—
PHA370920
—
CA
01
—
PHY37092
PHARMACY LICENSE/PERMIT
CA
Enumeration date
07/31/2006
Last updated
06/19/2008
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