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CROSBY PHARMACY INC NPI 1174563829


NPI Information

NPI: 1174563829
Provider Name: CROSBY PHARMACY INC

Doing Business As: TWAIN HARTE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2182869

Address:
22629 TWAIN HARTE DR STE D
TWAIN HARTE, CA
ZIP 95383
Phone: (209) 586-3225
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CROSBY PHARMACY INC is a community/retail pharmacy pharmacy in Twain Harte, 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. CROSBY PHARMACY INC NPI is 1174563829. The provider is registered as an organization entity type.
The provider Is Doing Business As Twain Harte Pharmacy.

The provider's business location address is:

22629 TWAIN HARTE DR STE D
TWAIN HARTE, CA
ZIP 95383-405
Phone: (209) 586-3225
Fax: (209) 586-3249

The provider's authorized official is Patrick Crosby .
The authorized official title is Owner and has the following contact phone number (209) 586-3225.

The CLIA number assigned to this NPI record is 05D2182869 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 6/6/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyPHY55899CALIFORNIAYes

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
12001272OTHERPK
2PHA225520MEDICAIDCALIFORNIA

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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