NPI | 1164536132 |
---|---|
Doing Business As | RIDGECREST PHARMACY |
Entity Type | Organization |
Authorized Contact | AARONDEEP BASRAI Owner 510-366-8287 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY53275) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2016-01-15 |