Organization
PACIFIC WEST PHARMACY INC
Active
Other names
PACIFIC WEST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR WHITNEY RPH (PRESIDENT)
(916) 632-9311
Entity
Organization
Contact information
Practice address
4363 PACIFIC ST, ROCKLIN, CA 95677-2117
(916) 632-7560
(916) 632-7571
Mailing address
4363 PACIFIC ST, ROCKLIN, CA 95677-2117
(916) 632-7560
(916) 632-7571
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY40592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0591924
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA405920
—
CA
Enumeration date
06/22/2006
Last updated
10/15/2010
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