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Prabhjit S. Purewal, Md, Inc.
Non-Pharmacy Dispensing Site in Manteca, California
NPI 1831206432

Prabhjit S. Purewal, Md, Inc. is a Non-Pharmacy Dispensing Site based in Stockton, CA. Prabhjit S. Purewal, Md, Inc. practices in Manteca, CA. The NPI Number for Prabhjit S. Purewal, Md, Inc. is 1831206432 and holds a License No. A48423 (California).

The current practice location address for Prabhjit S. Purewal, Md, Inc. is 200 Cottage Ave, Manteca, CA and can be reached out via phone at 209-477-2000 and via fax at 209-477-0248.

Location: 200 Cottage Ave, Manteca, CA, 95267-0935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831206432
Provider Name
Prabhjit S. Purewal, Md, Inc.
Credential
Provider Entity Type
Organization
Address
200 Cottage Ave, Manteca, CA, 95267-0935
Phone Number
209-477-2000
Fax Number
209-477-0248
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5622368 01 OTHER ID NUMBER-COMMERCIAL NUMBER
00A48423 05 CA
5622368 01 OTHER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
200 Cottage Ave
City
Manteca
State
California
Zip
95336-4935
Phone Number
209-477-2000
Fax Number
209-477-0248
person
Provider Business Mailing Address Details
Address
200 Cottage Ave
City
Manteca
State
California
Zip
95336-4935
Phone Number
209-477-2000
Fax Number
209-477-0248
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
A48423 (California)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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