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Kevin S Tom
Community/Retail Pharmacy in Copperopolis, California
NPI 1093140238

Kevin S Tom is a Community/Retail Pharmacy based in Copperopolis, CA and is specialized in Community/Retail Pharmacy. Kevin S Tom practices in Copperopolis, CA. The NPI Number for Kevin S Tom is 1093140238 and holds a License No. (California).

The current practice location address for Kevin S Tom is 49 Cosmic Ct Ste C, Copperopolis, CA and can be reached out via phone at 209-785-8787 and via fax at 209-785-8783.

Location: 49 Cosmic Ct Ste C, Copperopolis, CA, 95228-0699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093140238
Provider Name
Kevin S Tom
Credential
Provider Entity Type
Organization
Address
49 Cosmic Ct Ste C, Copperopolis, CA, 95228-0699
Phone Number
209-785-8787
Fax Number
209-785-8783
Provider Enumeration Date
09/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2141950 01 PK
institution
Provider Business Practice Location Address Details
Address
49 Cosmic Ct Ste C
City
Copperopolis
State
California
Zip
95228-9300
Phone Number
209-785-8787
Fax Number
209-785-8783
person
Provider Business Mailing Address Details
Address
49 Cosmic Ct Ste C
City
Copperopolis
State
California
Zip
95228-9300
Phone Number
209-785-8787
Fax Number
209-785-8783
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY51616 (California)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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.
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