Organization
LAST FRONTIER HEALTHCARE DISTRICT
Active
Other names
Last Frontier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENDELL HUTCHINS RPH (PHARMACY MANAGER/PIC/AO)
(530) 708-8850
Entity
Organization
Contact information
Practice address
1111 N NAGLE ST, ALTURAS, CA 96101-3840
(530) 708-8850
(530) 233-4449
Mailing address
PO BOX 190, ALTURAS, CA 96101-0190
(530) 708-8850
(530) 233-4449
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHE54540
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167729
PK
—
05
—
7623541
—
CA
Enumeration date
02/13/2017
Last updated
10/15/2020
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