Organization
PHARMKEE, INC.
Active
Other names
Mendota Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS K WILCOX PHARM.D. (DIRECTOR)
(559) 846-9396
Entity
Organization
Contact information
Practice address
497 OLLER ST, MENDOTA, CA 93640-2312
(559) 655-4254
(559) 655-4280
Mailing address
497 OLLER ST, MENDOTA, CA 93640-2312
(559) 655-4254
(559) 655-4280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY37392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0537754
NCPDP
CA
05
—
PHA373920
—
CA
Enumeration date
10/05/2006
Last updated
06/08/2010
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