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OLIVEHURST DRUG STORE INC NPI 1255464871


NPI Information

NPI: 1255464871
Provider Name: OLIVEHURST DRUG STORE INC

Doing Business As: OLIVEHURST DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4897 OLIVEHURST AVE
OLIVEHURST, CA
ZIP 95961
Phone: (530) 743-5451
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OLIVEHURST DRUG STORE INC is a community/retail pharmacy pharmacy in Olivehurst, 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. OLIVEHURST DRUG STORE INC NPI is 1255464871. The provider is registered as an organization entity type.
The provider Is Doing Business As Olivehurst Drug Store.

The provider's business location address is:

4897 OLIVEHURST AVE
OLIVEHURST, CA
ZIP 95961-225
Phone: (530) 743-5451
Fax: (530) 743-3713

The provider's authorized official is Hector Camacho .
The authorized official title is Owner/pic and has the following contact phone number (530) 743-5451.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 3/28/2017.


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 PharmacyPHY48813CALIFORNIAYes

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
12066990OTHERPK

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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