Organization
PERSONRX INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PERSON PHARM. D. (CEO/SEC./DIR.)
(661) 444-8880
Entity
Organization
Contact information
Practice address
1717 MING AVE., BAKERSFIELD, CA 93304
(661) 831-4050
Mailing address
1717 MING AVE., BAKERSFIELD, CA 93304
(661) 831-4050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
PHY22035
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0521989
NCPDP
CA
01
—
1538232780
NPI
CA
05
—
PHA220350
—
CA
Enumeration date
11/27/2013
Last updated
07/05/2022
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