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Waterfront Pharmacy Ltc Llc
Long Term Care Pharmacy in Stockton, California
NPI 1114696382

Waterfront Pharmacy Ltc Llc is a Long Term Care Pharmacy based in Stockton, CA and is specialized in Long Term Care Pharmacy. Waterfront Pharmacy Ltc Llc practices in Stockton, CA. The NPI Number for Waterfront Pharmacy Ltc Llc is 1114696382 and holds a License No. (California).

The current practice location address for Waterfront Pharmacy Ltc Llc is 123 S Commerce St Ste A, Stockton, CA and can be reached out via phone at 209-298-1715 and via fax at 559-369-2408.

Location: 123 S Commerce St Ste A, Stockton, CA, 95202-2837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114696382
Provider Name
Waterfront Pharmacy Ltc Llc
Credential
Provider Entity Type
Organization
Address
123 S Commerce St Ste A, Stockton, CA, 95202-2837
Phone Number
209-298-1715
Fax Number
559-369-2408
Provider Enumeration Date
09/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHY58030 01 CA PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
123 S Commerce St Ste A
City
Stockton
State
California
Zip
95202-2837
Phone Number
209-298-1715
Fax Number
559-369-2408
person
Provider Business Mailing Address Details
Address
123 S Commerce St Ste A
City
Stockton
State
California
Zip
95202-2837
Phone Number
209-298-1715
Fax Number
559-369-2408
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
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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.
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