Healthcare Provider Details

I. General information

NPI: 1639635451
Provider Name (Legal Business Name): PEOPLE'S PHARMACY # 3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2019
Last Update Date: 02/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4813 COFFEE RD STE 300
BAKERSFIELD CA
93308-9473
US

IV. Provider business mailing address

4813 COFFEE RD STE 300
BAKERSFIELD CA
93308-9473
US

V. Phone/Fax

Practice location:
  • Phone: 661-679-7363
  • Fax:
Mailing address:
  • Phone: 661-679-7363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GAURAV FALDU
Title or Position: PIC
Credential:
Phone: 201-982-8224