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Green Brothers Pharmacy, Inc
Community/Retail Pharmacy in Stockton, California
NPI 1619905221

Green Brothers Pharmacy, Inc is a Community/Retail Pharmacy based in Stockton, CA and is specialized in Community/Retail Pharmacy. Green Brothers Pharmacy, Inc practices in Stockton, CA. The NPI Number for Green Brothers Pharmacy, Inc is 1619905221 and holds a License No. (California).

The current practice location address for Green Brothers Pharmacy, Inc is 1617 N California St, Stockton, CA and can be reached out via phone at 209-948-6435 and via fax at 209-235-0241.

Location: 1617 N California St, Stockton, CA, 95204-6117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619905221
Provider Name
Green Brothers Pharmacy, Inc
Credential
Provider Entity Type
Organization
Address
1617 N California St, Stockton, CA, 95204-6117
Phone Number
209-948-6435
Fax Number
209-235-0241
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0526915 01 NCPDP PROVIDER IDENTIFICATION NUMBER
PHA178630 05 CA
institution
Provider Business Practice Location Address Details
Address
1617 N California St
City
Stockton
State
California
Zip
95204-6117
Phone Number
209-948-6435
Fax Number
209-235-0241
person
Provider Business Mailing Address Details
Address
1617 N California St
City
Stockton
State
California
Zip
95204-6117
Phone Number
209-948-6435
Fax Number
209-235-0241
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY17863 (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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