Healthcare Provider Details

I. General information

NPI: 1740100825
Provider Name (Legal Business Name): DAVID SCOTT CRUZAN RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 COHASSET RD STE 145
CHICO CA
95926-2235
US

IV. Provider business mailing address

6270 GOLD HILLS CT
REDDING CA
96003-7464
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-4000
  • Fax:
Mailing address:
  • Phone: 530-524-3566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0207X
TaxonomyCompounded Sterile Preparations Pharmacist
License Number46675
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: