Organization
KEITHS PHARMACY LLC
Active
Organization
KEITHS PHARMACY LLC
Active
Other names
KEITHS PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LORANG (PIC/OWNER)
(707) 923-2461
Entity
Organization
Contact information
Practice address
875 REDWOOD DR, GARBERVILLE, CA 95542-3106
(707) 923-2461
(707) 923-4038
Mailing address
875 REDWOOD DR, GARBERVILLE, CA 95542-3106
(707) 923-2461
(707) 923-4038
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
52423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151412
PK
—
Enumeration date
09/23/2005
Last updated
06/16/2015
Update your record
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