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PEACH TREE HEALTHCARE NPI 1467103358


NPI Information

NPI: 1467103358
Provider Name: PEACH TREE HEALTHCARE
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2077770

Address:
5730 PACKARD AVE STE 620
MARYSVILLE, CA
ZIP 95901
Phone: (530) 749-3242
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PEACH TREE HEALTHCARE is a community/retail pharmacy pharmacy in Marysville, 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. PEACH TREE HEALTHCARE NPI is 1467103358. The provider is registered as an organization entity type.

The provider's business location address is:

5730 PACKARD AVE STE 620
MARYSVILLE, CA
ZIP 95901-119
Phone: (530) 749-3242
Fax: (530) 749-3248

The provider's authorized official is Greg Scott Stone .
The authorized official title is Ceo and has the following contact phone number (530) 741-6245.

The CLIA number assigned to this NPI record is 05D2077770 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.