Organization
THE O'BRYAN COMPANY INC
Active
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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