BOULDER CREEK PHARMACY NPI 1629165584

NPI Information

BOULDER CREEK PHARMACY is a pharmacy in Boulder Creek, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BOULDER CREEK PHARMACY NPI is 1629165584. The provider is registered as an organization entity type.
The provider Other Name Is A Calif Corp.

The provider's business location address is:

13081 CENTRAL AVE
BOULDER CREEK, CA
ZIP 95006
Phone: (831) 338-2144
Fax: (831) 338-0901

The provider's authorized official is Robert E Locatelli .
The authorized official title is President and has the following contact phone number (831) 338-2241.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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