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Contact Information

SISKIYOU PHARMACY SERVICES INC
742 SOUTH MAIN ST
YREKA, CA96097
 Phone: 530-842-4301
 Fax: 530-842-9416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for SISKIYOU PHARMACY SERVICES INC

NPI Number 1376556001
LBN Legal business name SISKIYOU PHARMACY SERVICES INC
Authorized official CANDICE AMENS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 10/08/2015 - About 11 years ago
Identifiers
CA License # 35335
CA License # 44071
CA License # TCH48386
CA License # TCH65225
CA Medicaid PHA466320
Other 0501189 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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