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IMGRX SJ VALLEY INC NPI 1053830950


NPI Information

NPI: 1053830950
Provider Name: IMGRX SJ VALLEY INC

Doing Business As: UNITED HEALTH CENTERS PHARMACY SANGER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2502 JENSEN AVE
SANGER, CA
ZIP 93657
Phone: (559) 875-6000
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IMGRX SJ VALLEY INC is a community/retail pharmacy pharmacy in Sanger, 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. IMGRX SJ VALLEY INC NPI is 1053830950. The provider is registered as an organization entity type.
The provider Is Doing Business As United Health Centers Pharmacy Sanger.

The provider's business location address is:

2502 JENSEN AVE
SANGER, CA
ZIP 93657-447
Phone: (559) 875-6000
Fax: (559) 876-5127

The provider's authorized official is Kevin Rew .
The authorized official title is General Counsel & Coo and has the following contact phone number (512) 596-2930.

The enumeration date for this NPI number is 9/12/2017 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 PharmacyPHY55860CALIFORNIAYes

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
12171656OTHERPK

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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