Organization
MICHAEL A CELAYETA
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CELAYETA RPH (OWNER PHARMACIST)
(530) 493-2070
Entity
Organization
Contact information
Practice address
64012 HILLSIDE RD, HAPPY CAMP, CA 96039
(530) 493-2070
(530) 493-2068
Mailing address
PO BOX 425, HAPPY CAMP, CA 96039-0425
(530) 493-2070
(530) 493-2068
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY39288
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952342859
—
CA
01
—
2000042
PK
—
Enumeration date
06/10/2006
Last updated
01/13/2017
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