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SILVERADO PHARMACY INC NPI 1700946936


NPI Information

NPI: 1700946936
Provider Name: SILVERADO PHARMACY INC

Doing Business As: SILVERADO PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1473 LINCOLN AVE STE D
CALISTOGA, CA
ZIP 94515
Phone: (707) 942-5115
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SILVERADO PHARMACY INC is a community/retail pharmacy pharmacy in Calistoga, 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. SILVERADO PHARMACY INC NPI is 1700946936. The provider is registered as an organization entity type.
The provider Is Doing Business As Silverado Pharmacy.

The provider's business location address is:

1473 LINCOLN AVE STE D
CALISTOGA, CA
ZIP 94515-479
Phone: (707) 942-5115
Fax: (707) 942-2175

The provider's authorized official is Jeffrey Hansen .
The authorized official title is President/owner and has the following contact phone number (707) 942-5115.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/19/2018.


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 PharmacyPHY47475CALIFORNIAYes

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
11700946936MEDICAIDCALIFORNIA
22033136OTHERPK

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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