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EUREKA PHARMACY LLC NPI 1164713517


NPI Information

NPI: 1164713517
Provider Name: EUREKA PHARMACY LLC

Doing Business As: CLONEYS LONG TERM CARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
525 5TH ST STE B
EUREKA, CA
ZIP 95501
Phone: (707) 443-8452
Get Directions

EUREKA PHARMACY LLC is a long term care pharmacy pharmacy in Eureka, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. EUREKA PHARMACY LLC NPI is 1164713517. The provider is registered as an organization entity type.
The provider Is Doing Business As Cloneys Long Term Care Pharmacy.

The provider's business location address is:

525 5TH ST STE B
EUREKA, CA
ZIP 95501-032
Phone: (707) 443-8452
Fax: (707) 443-2443

The provider's authorized official is Pratap Krishna Anne .
The authorized official title is Managing Member and has the following contact phone number (209) 298-1715.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 8/10/2021.


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
13336C0004XPharmacyCompounding PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyYes

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
12129858OTHERPK
21164713517MEDICAIDCALIFORNIA

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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