Organization
GRIZZLY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW WARTHEN (CEO/CFO/SECRETARY/DIRECTOR)
(559) 424-0423
Entity
Organization
Contact information
Practice address
6017 N PALM AVE, FRESNO, CA 93704-1623
(559) 424-0423
(559) 424-0680
Mailing address
6017 N PALM AVE, FRESNO, CA 93704-1623
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780348003
—
CA
Enumeration date
10/22/2021
Last updated
07/08/2025
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