Healthcare Provider Details

I. General information

NPI: 1619075066
Provider Name (Legal Business Name): HEALTH PLUS PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2306 MAIN ST.
CAMBRIA CA
93428
US

IV. Provider business mailing address

2306 MAIN ST
CAMBRIA CA
93428
US

V. Phone/Fax

Practice location:
  • Phone: 805-927-4236
  • Fax:
Mailing address:
  • Phone: 805-927-4236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY ELIZABETH PHILLIPS
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 805-927-4236