Organization
REDWOOD COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANNE OTTING (OWNER)
(707) 633-4884
Entity
Organization
Contact information
Practice address
1567 CITY CENTER RD, MCKINLEYVILLE, CA 95519-3600
(206) 747-1488
Mailing address
1567 CITY CENTER RD, MCKINLEYVILLE, CA 95519-3600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
01/15/2022
Last updated
02/11/2025
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