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CROCKER DRUG INC NPI 1912028465


NPI Information

NPI: 1912028465
Provider Name: CROCKER DRUG INC

Doing Business As: CROCKER DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
502 EUCLID AVE
STE 100
NATIONAL CITY, CA
ZIP 91950
Phone: (619) 267-8159
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CROCKER DRUG INC is a community/retail pharmacy pharmacy in National City, 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. CROCKER DRUG INC NPI is 1912028465. The provider is registered as an organization entity type.
The provider Is Doing Business As Crocker Drug.

The provider's business location address is:

502 EUCLID AVE
STE 100
NATIONAL CITY, CA
ZIP 91950-994
Phone: (619) 267-8159
Fax: (619) 267-8167

The provider's authorized official is Fern Crocker .
The authorized official title is Owner/president and has the following contact phone number (619) 670-2316.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 9/10/2010.


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 Pharmacy20049CALIFORNIAYes

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
1PHA200490MEDICAIDCALIFORNIA
21055220001MEDICARE NSC
30538528OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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