Organization
RIDGECREST REGIONAL HOSPITAL
Active
Other names
Center Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FURTADO PHARM.D. (PHARMACIST IN CHARGE)
(760) 446-4141
Entity
Organization
Contact information
Practice address
1109 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3131
(760) 446-4141
(760) 446-4600
Mailing address
1109 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3131
(760) 446-4141
(760) 446-4600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53935
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790811289
—
CA
01
—
2162070
PK
—
Enumeration date
02/26/2007
Last updated
01/10/2020
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