Mount Shasta Pharmacy, Inc.
NPI #1295494904 in Mount Shasta, California
Provider Information
- NPI Number
- 1295494904
- Entity Type
- Organization
- Organization Name
- Mount Shasta Pharmacy, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 148 MORGAN WAY
- City
- Mount Shasta
- State
- California
- ZIP Code
- 96067
- Phone
- (530) 567-0270
Authorized Official
- Name
- TONY IBRAHIM
- Title
- CEO/CFO/DIRECTOR
- Phone
- (760) 987-6796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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