Organization
SAN JOAQUIN DRUG INCORPORATED
Active
Parent organization
SAN JOAQUIN DRUG INC
Other names
Yosemite Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JOAQUIN DRUG INC
Authorized official
DR. KATHERINE ELIZABETH BASS PHD (PRESIDENT)
(209) 484-8184
Entity
Organization
Contact information
Practice address
35300 HWY 41 SUITE 101, COARSEGOLD, CA 93614
(559) 692-2479
Mailing address
PO BOX 1636, PLANADA, CA 95365
(209) 382-1291
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
09/23/2019
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