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GOLDEN STATE PHARMACY NPI 1437641115


NPI Information

NPI: 1437641115
Provider Name: GOLDEN STATE PHARMACY

Doing Business As: GOLDEN STATE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1617 N CALIFORNIA ST STE 1F
STOCKTON, CA
ZIP 95204
Phone: (209) 420-1720
Get Directions

GOLDEN STATE PHARMACY 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. GOLDEN STATE PHARMACY NPI is 1437641115. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden State Pharmacy.

The provider's business location address is:

1617 N CALIFORNIA ST STE 1F
STOCKTON, CA
ZIP 95204-117
Phone: (209) 420-1720
Fax: (209) 227-7377

The provider's authorized official is Jorge E. Gonzalez .
The authorized official title is Cfo/tech and has the following contact phone number (209) 420-1720.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 6/7/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy46048CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14814941MEDICAIDCALIFORNIA

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: 5/5/2024

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