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DAMERON HOSPITAL ASSOCIATION NPI 1073663431


NPI Information

NPI: 1073663431
Provider Name: DAMERON HOSPITAL ASSOCIATION

Doing Business As: DAMERONS LINACIA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
420 W ACACIA ST
STOCKTON, CA
ZIP 95203
Phone: (209) 466-2954
Get Directions

DAMERON HOSPITAL ASSOCIATION is a community/retail pharmacy pharmacy in Stockton, 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. DAMERON HOSPITAL ASSOCIATION NPI is 1073663431. The provider is registered as an organization entity type.
The provider Is Doing Business As Damerons Linacia Pharmacy.

The provider's business location address is:

420 W ACACIA ST
STOCKTON, CA
ZIP 95203-441
Phone: (209) 466-2954
Fax: (209) 466-1558

The provider's authorized official is Michael Glasberg .
The authorized official title is Sr Vp, Coo and has the following contact phone number (209) 944-5550.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 9/29/2015.


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 PharmacyPHY39485CALIFORNIAYes

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
12077836OTHERPK
2PHA 394850MEDICAIDCALIFORNIA

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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