National Provider Identifier Database

PARKWOODS 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.


Contact Information

PARKWOODS DRUG
104 LINCOLN CTR
STOCKTON, CA95207
Phone: 209-475-1008
Fax: 209-475-1027
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PARKWOODS DRUG

NPI Number 1114078110
Legal business name
LBN
PARKWOODS DRUG
Authorized official MICHAEL PETERS - (PHRM)
Entity Organization
Organization subpart No
Enumeration date 01/16/2007
Last updated 07/26/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY46901
  • CA Medicaid: PHA46901
  • Other: 5614323 OTHER ID NUMBER
  • Other: 5614323 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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