Organization
MERCED DRUG
Active
Organization
MERCED DRUG
Active
Other names
MERCED DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL VALAZQUEZ PHARMD (OWNER)
(209) 388-1080
Entity
Organization
Contact information
Practice address
35 E 16TH ST, MERCED, CA 95340-5020
(209) 388-1080
(209) 388-1537
Mailing address
35 E 16TH ST, MERCED, CA 95340-5020
(209) 388-1080
(209) 388-1537
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004904
PK
—
Enumeration date
04/03/2007
Last updated
06/01/2016
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