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Organization

RELIANCE CASTLE PHARMACY LLC

Active
Parent organization
RELIANCE CASTLE PHARMACY LLC
Other names
Castle Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
RELIANCE CASTLE PHARMACY LLC
Authorized official
MS. NEELMIA VANGA (MEMBER/MANAGER)
(209) 723-1888
Entity
Organization

Contact information

Practice address
3605 HOSPITAL ROAD, SUITE D, ATWATER, CA 95301-5173
(209) 723-1888
(209) 723-1858
Mailing address
3605 HOSPITAL ROAD, SUITE D, ATWATER, CA 95301-5173
(209) 723-1888
(209) 723-1858

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50666
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851463657
CA
01
5624502
OTHER ID NUMBER-COMMERCIAL NUMBER
01
PHY 50666
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
11/15/2006
Last updated
09/03/2020
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