Organization
PROFESSIONAL PHARMACIES, INC
Active
Other names
Medicine Shoppe Pharmacy 0376
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIL F HARB RPH (PRESIDENT)
(707) 778-6363
Entity
Organization
Contact information
Practice address
300 WASHINGTON ST, PETALUMA, CA 94952-2915
(707) 778-6363
(707) 778-8953
Mailing address
300 WASHINGTON ST, PETALUMA, CA 94952-2915
(707) 778-6363
(707) 778-8953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY465150
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570071
NCPDP #
CA
01
—
AR821
MEDICARE MASS IMUNIZATION #
—
05
—
PHA465150
—
CA
Enumeration date
08/10/2005
Last updated
03/07/2023
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