<Unavail>

LBN: Roderick Pharmacy Group Inc
<Unavail> is an health care organization with primary practice located at 711 E Market St , Stockton CA 95202-3104. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Roderick Pharmacy Group Inc can be contacted via phone (209) 465-1001, or through Roderick, David via phone (209) 465-1001.

Contact Information

Primary practice address
711 E Market St Stockton CA 95202-3104
Phone: (209) 465-1001
Fax: (209) 946-1001
Website:
Map and Directions
Authorized official contact:
Name: Roderick, David PHARMD
Phone: (209) 465-1001

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHY43891 California

Profile Details

NPI number 1396726634
LBN Legal business name Roderick Pharmacy Group Inc
DBA Doing business as <Unavail>
Authorized official Roderick, David PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Sep 13th, 2013 - about 13 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 1396726634 NPPES
Other 1992342 PK
MEDICAID PHA438910 PK

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