Organization
PHARMKEE, INC.
Active
Other names
San Joaquin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS K WILCOX PHARM.D. (DIRECTOR)
(559) 693-4339
Entity
Organization
Contact information
Practice address
21890 COLORADO AVENUE, SUITE A, SAN JOAQUIN, CA 93660
(559) 693-4339
(559) 693-1080
Mailing address
PO BOX 782, 21890 COLORADO AVE, SUITE A, SAN JOAQUIN, CA 93660-0782
(559) 693-4339
(559) 693-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY38015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0527854
NCPDP
CA
05
—
PHA380150
—
CA
Enumeration date
10/17/2006
Last updated
06/08/2010
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