Organization
NEW-CAL PHARMACY INC
Active
Other names
Croal's Rexall Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
BRAHMAJI VALIVETI (PRESIDENT)
(760) 256-8968
Entity
Organization
Contact information
Practice address
901 E WILLIAMS ST, BARSTOW, CA 92311-3049
(760) 256-8968
(760) 256-2653
Mailing address
901 E WILLIAMS ST, BARSTOW, CA 92311-3049
(760) 256-8968
(760) 256-2653
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130472
PK
—
Enumeration date
12/13/2006
Last updated
10/16/2024
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