Organization
THE O'BRYAN COMPANY INC
Active
Other names
PACIFIC WEST HEALTHCARE SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
AUBREY OBRYAN (PRESIDENT)
(916) 852-4222
Entity
Organization
Contact information
Practice address
5151 GOLDEN FOOTHILL PKWY, STE 140, EL DORADO HILLS, CA 95762-9609
(916) 852-4222
(916) 852-0951
Mailing address
5151 GOLDEN FOOTHILL PKWY, STE 140, EL DORADO HILLS, CA 95762-9609
(916) 852-4222
(916) 852-0951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48206
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600641
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
08/05/2011
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