National Provider Identifier Database

CHARTER WAY PHARMACY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CHARTER WAY PHARMACY
201 W CHARTER WY
STOCKTON, CA95206
Phone: 209-466-2223
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for CHARTER WAY PHARMACY

NPI Number 1013078187
Legal business name
LBN
CHARTER WAY PHARMACY
Authorized official LOUIS MAGNASCO - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/13/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: PHY20560

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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