Churn Creek Pharmacy, Inc.

LBN: Churn Creek Pharmacy, Inc.
Churn Creek Pharmacy, Inc. is an health care organization with primary practice located at 3330 Churn Creek Rd Suite A1, Redding CA 96002-2532. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Churn Creek Pharmacy, Inc. can be contacted via phone (530) 222-3038, or through Fruzza, Edward Louis via phone (530) 222-3038.

Contact Information

Primary practice address
3330 Churn Creek Rd Suite A1 Redding CA 96002-2532
Phone: (530) 222-3038
Fax: (530) 222-0337
Website:
Map and Directions
Authorized official contact:
Name: Fruzza, Edward Louis RPH
Phone: (530) 222-3038

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY324920 California

Profile Details

NPI number 1750506796
LBN Legal business name Churn Creek Pharmacy, Inc.
DBA Doing business as
Authorized official Fruzza, Edward Louis RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Oct 20th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750506796 NPPES
California MEDICAID PHA324920

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