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1114696382
WATERFRONT PHARMACY LTC LLC
STOCKTON, CA
NPI
1114696382
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Entity Type
Organization
Authorized Contact
CHANDRA KADIYALA
CEO
509-392-1958
Organization Subpart ?
No
Primary Taxonomy
3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date
2021-09-09
Last Update Date
2024-04-18
Business Address
WATERFRONT PHARMACY LTC LLC
123 S COMMERCE ST STE A
STOCKTON, CA 95202-2837
Phone number: 209-298-1715
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Mailing Address
WATERFRONT PHARMACY LTC LLC
123 S COMMERCE ST STE A
STOCKTON, CA 95202-2837
Phone number: 209-929-1093
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