Healthcare Provider Details

I. General information

NPI: 1366571275
Provider Name (Legal Business Name): HRH PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MCHENRY AVE SUITE 202
ESCALON CA
95320-9473
US

IV. Provider business mailing address

1900 MCHENRY AVE SUITE 202
ESCALON CA
95320-9473
US

V. Phone/Fax

Practice location:
  • Phone: 209-838-0511
  • Fax: 209-838-0611
Mailing address:
  • Phone: 209-838-0511
  • Fax: 209-838-0611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY50817
License Number StateCA

VIII. Authorized Official

Name: CATHRYN DUNCAN
Title or Position: OWNER
Credential:
Phone: 209-838-0511