IMGRX SJ VALLEY, INC.

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

IMGRX SJ VALLEY, INC.

17008 13TH ST.
PHARMACY SUITE
HURON, CA 93234

Phone: 559-945-2541
Fax: 559-942-8016
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

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NPI Profile & details for IMGRX SJ VALLEY, INC.

NPI Number 1710087887

LBN Legal business name IMGRX SJ VALLEY, INC.

Authorized official MICHAEL BROWN - (VICE PRESIDENT, MANAGED SERVICES)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 09/25/2006

Last updated 09/19/2022 - About 4 years ago

Identifiers

CA	License #	54516
CA	Medicaid	PHA331050

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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