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EL TEJON DRUG CO. NPI 1164503850


NPI Information

NPI: 1164503850
Provider Name: EL TEJON DRUG CO.

Doing Business As: EL TEJON DRUGS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2044591

Address:
2900 BRUNDAGE LN
BAKERSFIELD, CA
ZIP 93304
Phone: (661) 325-7284
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EL TEJON DRUG CO. is a community/retail pharmacy pharmacy in Bakersfield, 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. EL TEJON DRUG CO. NPI is 1164503850. The provider is registered as an organization entity type.
The provider Is Doing Business As El Tejon Drugs.

The provider's business location address is:

2900 BRUNDAGE LN
BAKERSFIELD, CA
ZIP 93304-430
Phone: (661) 325-7284
Fax: (661) 327-5144

The provider's authorized official is Ty Stout .
The authorized official title is Vice President and has the following contact phone number (661) 325-7284.

The CLIA number assigned to this NPI record is 05D2044591 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/15/2020.


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 PharmacyPHY45910CALIFORNIAYes

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
12028510OTHERPK
21164503850MEDICAIDCALIFORNIA

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: 11/14/2023

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