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Contact Information

PARKWOODS DRUG
104 LINCOLN CTR
STOCKTON, CA95207
 Phone: 209-475-1008
 Fax: 209-475-1027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PARKWOODS DRUG

NPI # 1114078110
LBN Legal business name PARKWOODS DRUG
Authorized official MICHAEL PETERS - (PHRM)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 07/26/2007 - About 19 years ago
Identifiers
CA License # PHY46901
CA Medicaid PHA46901
Other 5614323 OTHER ID NUMBER
Other 5614323 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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