San Joaquin Drug Incorporated
NPI #1912559162 in Coarsegold, California
Provider Information
- NPI Number
- 1912559162
- Entity Type
- Organization
- Organization Name
- San Joaquin Drug Incorporated
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SAN JOAQUIN DRUG INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 9, 2019
- Last Updated
- Sep 23, 2019
Practice Location
- Address
- 35300 HWY 41 SUITE 101
- City
- Coarsegold
- State
- California
- ZIP Code
- 93614
- Phone
- (559) 692-2479
Authorized Official
- Name
- DR. KATHERINE ELIZABETH BASS, PHD
- Title
- PRESIDENT
- Phone
- (209) 484-8184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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