Organization
PALM PHARMACY INC
Active
Other names
Palm Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV PANDYA (PRESIDENT/PIC)
(805) 525-8700
Entity
Organization
Contact information
Practice address
254 E HARVARD BLVD, SANTA PAULA, CA 93060-3372
(805) 525-8700
(805) 525-8711
Mailing address
254 E HARVARD BLVD, SANTA PAULA, CA 93060-3372
(805) 525-8700
(805) 525-8711
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129399
PK
—
Enumeration date
03/09/2011
Last updated
03/13/2015
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