Organization
CROWN VALLEY PHARMACY
Active
Other names
Crown Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENISA CHOWDHURY (OWNER, STORE MANAGER)
(661) 269-9500
Entity
Organization
Contact information
Practice address
3720 SIERRA HWY, UNIT G, ACTON, CA 93510-1272
(661) 269-9500
(661) 269-9501
Mailing address
3720 SIERRA HWY, UNIT G, ACTON, CA 93510-1272
(661) 269-9500
(661) 269-9501
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128956
PK
—
Enumeration date
02/22/2011
Last updated
04/11/2016
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