institution
Mother Lode Pharmacies, Inc.
Pharmacy in San Andreas, California
NPI 1891876918

Mother Lode Pharmacies, Inc. is a Pharmacy based in San Andreas, CA. Mother Lode Pharmacies, Inc. practices in San Andreas, CA. The NPI Number for Mother Lode Pharmacies, Inc. is 1891876918 and holds a License No. 417030 (California).

The current practice location address for Mother Lode Pharmacies, Inc. is 64 E. Saint Charles St, San Andreas, CA and can be reached out via phone at 209-754-3595 and via fax at 209-754-5387.

Location: 64 E. Saint Charles St, San Andreas, CA, 95249-0606
institution
Provider Profile Details
NPI Number
1891876918
Provider Name
Mother Lode Pharmacies, Inc.
Credential
Provider Entity Type
Organization
Address
64 E. Saint Charles St, San Andreas, CA, 95249-0606
Phone Number
209-754-3595
Fax Number
209-754-5387
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHA417030 05 CA
institution
Provider Business Practice Location Address Details
Address
64 E. Saint Charles St
City
State
Zip
95249-0009
Phone Number
209-754-3595
Fax Number
209-754-5387
person
Provider Business Mailing Address Details
Address
64 E. Saint Charles St
City
State
Zip
95249-0009
Phone Number
209-754-3595
Fax Number
209-754-5387
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
417030 (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.
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