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Maravich Enterprises
Community/Retail Pharmacy in Hidden Valley Lake, California
NPI 1790116861

Maravich Enterprises is a Community/Retail Pharmacy based in Hidden Valley Lake, CA and is specialized in Community/Retail Pharmacy. Maravich Enterprises practices in Hidden Valley Lake, CA. The NPI Number for Maravich Enterprises is 1790116861 and holds a License No. (California).

The current practice location address for Maravich Enterprises is 19851 Hartmann Rd, Hidden Valley Lake, CA and can be reached out via phone at 707-987-3995 and via fax at 707-987-3120.

Location: 19851 Hartmann Rd, Hidden Valley Lake, CA, 95467-8307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790116861
Provider Name
Maravich Enterprises
Credential
Provider Entity Type
Organization
Address
19851 Hartmann Rd, Hidden Valley Lake, CA, 95467-8307
Phone Number
707-987-3995
Fax Number
707-987-3120
Provider Enumeration Date
11/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3765640 05 CA
2143179 01 PK
institution
Provider Business Practice Location Address Details
Address
19851 Hartmann Rd
City
Hidden Valley Lake
State
California
Zip
95467-8307
Phone Number
707-987-3995
Fax Number
707-987-3120
person
Provider Business Mailing Address Details
Address
19851 Hartmann Rd
City
Hidden Valley Lake
State
California
Zip
95467-8307
Phone Number
707-987-3995
Fax Number
707-987-3120
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY51432 (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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