Organization
HORSNYDER PHARMACY INC.
Active
Other names
Horsnyder Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE C QUESENBERRY R.PH. (PRESIDENT)
(831) 423-2315
Entity
Organization
Contact information
Practice address
1226A SOQUEL AVENUE, SANTA CRUZ, CA 95062-2157
(831) 423-2315
(831) 423-2320
Mailing address
1226A SOQUEL AVENUE, SANTA CRUZ, CA 95062-2157
(831) 423-2315
(831) 423-2320
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
51860
CA
332BC3200X
Customized Equipment (DME)
PHY326170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA51860
—
CA
01
—
PHY326170
PHARMACY LICENSE
CA
Enumeration date
12/08/2006
Last updated
12/21/2016
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