Organization
KOMOTO PHARMACY INC.
Active
Other names
Komoto Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL URMSTON RPH (PHARMACIST IN CHARGE)
(661) 327-7524
Entity
Organization
Contact information
Practice address
2110 TRUXTUN AVE, #100, BAKERSFIELD, CA 93301-3703
(661) 327-7524
(661) 327-8793
Mailing address
2110 TRUXTUN AVE, #100, BAKERSFIELD, CA 93301-3703
(661) 327-7524
(661) 327-8793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA438600
—
CA
Enumeration date
07/09/2006
Last updated
05/07/2024
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