Organization
STEVROS INC
Active
Other names
RANCHO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LEIGH RICHMOND B.S. (PRESIDENT)
(559) 592-5222
Entity
Organization
Contact information
Practice address
426 N KAWEAH AVE, EXETER, CA 93221-1224
(559) 592-5222
(559) 592-3030
Mailing address
426 N KAWEAH AVE, EXETER, CA 93221-1224
(559) 592-5222
(559) 592-3030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY42910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0574803
NCPDP NUMBER
CA
05
—
PHA429410
—
CA
Enumeration date
02/26/2007
Last updated
02/01/2010
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