Organization
SHEPARD PLACE PHARMACY INC
Active
Organization
SHEPARD PLACE PHARMACY INC
Active
Other names
SHEPARD PLACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BARNETT (PRESIDENT)
(805) 684-8367
Entity
Organization
Contact information
Practice address
1029 CASITAS PASS RD, CARPINTERIA, CA 93013-2108
(805) 684-8367
(805) 684-8848
Mailing address
1029 CASITAS PASS RD, CARPINTERIA, CA 93013-2108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY22070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0573762
OTHER ID NUMBER
—
05
—
PHY220700
—
CA
Enumeration date
08/10/2006
Last updated
05/22/2008
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