Waterfront Pharmacy Ltc LLC
NPI #1114696382 in Stockton, California
Provider Information
- NPI Number
- 1114696382
- Entity Type
- Organization
- Organization Name
- Waterfront Pharmacy Ltc LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Apr 18, 2024
Practice Location
- Address
- 123 S COMMERCE ST STE A
- City
- Stockton
- State
- California
- ZIP Code
- 95202-2837
- Phone
- (209) 298-1715
Authorized Official
- Name
- MR. CHANDRA KADIYALA
- Title
- CEO
- Phone
- (509) 392-1958
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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