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Organization

FIVE PHARMS

Active
Other names
MERCY PLAZA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DALE TAYLOR (PRESIDENT)
(661) 323-2925
Entity
Organization

Contact information

Practice address
2323 16TH ST, STE 100, BAKERSFIELD, CA 93301-3420
(661) 324-2545
(661) 324-9644
Mailing address
2336 EYE ST, BAKERSFIELD, CA 93301-4012
(661) 989-2925
(661) 327-7860

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43303
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2002861
PK
05
PHA433030
CA
Enumeration date
08/04/2006
Last updated
07/02/2015
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