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LITTLE LAKE PHARMACY INC NPI 1598742132


NPI Information

NPI: 1598742132
Provider Name: LITTLE LAKE PHARMACY INC

Doing Business As: WILLITS PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
90 S MAIN ST
WILLITS, CA
ZIP 95490
Phone: (707) 459-6877
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LITTLE LAKE PHARMACY INC is a pharmacist in Willits, CA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. LITTLE LAKE PHARMACY INC NPI is 1598742132. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Willits Pharmacy.

The provider's business location address is:

90 S MAIN ST
WILLITS, CA
ZIP 95490-526
Phone: (707) 459-6877
Fax: (707) 459-3299

The provider's authorized official is David H Lovitt .
The authorized official title is President and has the following contact phone number (707) 459-6877.

The enumeration date for this NPI number is 12/24/2005 and was last updated on 2/20/2008.


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
1183500000XPharmacistPHY34314CALIFORNIAYes

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
14759530001MEDICARE NSCCALIFORNIA
2AW8896132OTHERCALIFORNIADEA NUMBER
3PHA208900MEDICAIDCALIFORNIA

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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