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SANDERS DRUG CO INC NPI 1144365776


NPI Information

NPI: 1144365776
Provider Name: SANDERS DRUG CO INC

Doing Business As: KENNETH ROAD PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1400 W KENNETH RD
GLENDALE, CA
ZIP 91201
Phone: (818) 242-5259
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SANDERS DRUG CO INC is a community/retail pharmacy pharmacy in Glendale, CA. The provider is 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. SANDERS DRUG CO INC NPI is 1144365776. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenneth Road Pharmacy.

The provider's business location address is:

1400 W KENNETH RD
GLENDALE, CA
ZIP 91201-422
Phone: (818) 242-5259
Fax: (818) 247-8593

The provider's authorized official is Oscar Pallares .
The authorized official title is Secretary Tresurer and has the following contact phone number (818) 242-5259.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 9/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY94460CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11015010001MEDICARE NSC
20533198OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
30533198OTHEROTHER ID NUMBER
4PHA94460MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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