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Organization

DOSE DRUGGISTS

Active
Other names
WOMACKS SIERRA VISTA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KEN WOMACK PHARMD (PARTNER)
(559) 594-5656
Entity
Organization

Contact information

Practice address
650 E VISALIA RD, FARMERSVILLE, CA 93223-1641
(559) 594-5656
(559) 594-6926
Mailing address
650 E VISALIA RD, FARMERSVILLE, CA 93223-1641
(559) 594-5656
(559) 594-6926

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY34016
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0570766
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHA340160
CA
Enumeration date
10/25/2006
Last updated
01/17/2012
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