Organization
REEDLEY PHARMACY INC
Active
Other names
REEDLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHIROW SASAKI (PRESIDENT)
(556) 630-6317
Entity
Organization
Contact information
Practice address
1115 G ST, REEDLEY, CA 93654-3003
(559) 638-6317
(553) 637-1627
Mailing address
PO BOX 25846, FRESNO, CA 93729-5846
(559) 285-7616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548012
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA398210
—
CA
Enumeration date
08/10/2006
Last updated
05/17/2010
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