POKERVILLE DRUG

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

POKERVILLE DRUG

18170 HWY 49
SUITE A
PLYMOUTH, CA 95669

Phone: 209-245-3784
Fax: 209-245-4146
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for POKERVILLE DRUG

NPI Number 1013928605

LBN Legal business name POKERVILLE DRUG

Authorized official PAUL WESSELER - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2006

Last updated 02/19/2008 - About 18 years ago

Identifiers

CA	License #	PHY39679
CA	Medicaid	PHA396790
	Other	0553013	OTHER ID NUMBER
	Other	0553013	OTHER ID NUMBER-COMMERCIAL NUMBER

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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