location
search-icon
institution
Petra Pharmacy Corp
Long Term Care Pharmacy in San Jacinto, California
NPI 1104901131

Petra Pharmacy Corp is a Long Term Care Pharmacy based in San Jacinto, CA and is specialized in Long Term Care Pharmacy. Petra Pharmacy Corp practices in San Jacinto, CA. The NPI Number for Petra Pharmacy Corp is 1104901131 and holds a License No. PHY54602 (California).

The current practice location address for Petra Pharmacy Corp is 1477 S San Jacinto Ave, San Jacinto, CA and can be reached out via phone at 951-927-5710 and via fax at 951-927-9834.

Location: 1477 S San Jacinto Ave, San Jacinto, CA, 92583-5105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104901131
Provider Name
Petra Pharmacy Corp
Credential
Provider Entity Type
Organization
Address
1477 S San Jacinto Ave, San Jacinto, CA, 92583-5105
Phone Number
951-927-5710
Fax Number
951-927-9834
Provider Enumeration Date
10/26/2006
Last Update Date
06/15/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0574271 01 CA NCPDP #
1104901131 01 CA NPI
PHY54602 01 CA PHARMACY PERMIT
PHA546020 05 CA
institution
Provider Business Practice Location Address Details
Address
1477 S San Jacinto Ave
City
San Jacinto
State
California
Zip
92583-5105
Phone Number
951-927-5710
Fax Number
951-927-9834
person
Provider Business Mailing Address Details
Address
1477 S San Jacinto Ave
City
San Jacinto
State
California
Zip
92583-5105
Phone Number
951-927-5710
Fax Number
951-927-9834
person
Provider's Taxonomy Details 1
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
()
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PHY54602 (California)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.