Jerry'S Drug

LBN: Foothill Pharmacy Inc.
Jerry'S Drug is an health care organization with primary practice located at 250 E Antelope Ave Suite B, Woodlake CA 93286-1585. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Foothill Pharmacy Inc. can be contacted via phone (559) 564-7177, or through Richmond, Steven Leigh via phone (559) 564-7177.

Contact Information

Primary practice address
250 E Antelope Ave Suite B Woodlake CA 93286-1585
Phone: (559) 564-7177
Fax: (559) 564-7104
Website:
Map and Directions
Authorized official contact:
Name: Richmond, Steven Leigh B.S.
Phone: (559) 564-7177

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46418 California

Profile Details

NPI number 1639205248
LBN Legal business name Foothill Pharmacy Inc.
DBA Doing business as Jerry'S Drug
Authorized official Richmond, Steven Leigh B.S.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1639205248 NPPES
California Other 0563191 NCPDP NUMBER
California MEDICAID PHA464180 NCPDP NUMBER

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