Healthcare Provider Details

I. General information

NPI: 1982788006
Provider Name (Legal Business Name): DOSE DRUGGISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 01/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E VISALIA RD
FARMERSVILLE CA
93223-1641
US

IV. Provider business mailing address

650 E VISALIA RD
FARMERSVILLE CA
93223-1641
US

V. Phone/Fax

Practice location:
  • Phone: 559-594-5656
  • Fax: 559-594-6926
Mailing address:
  • Phone: 559-594-5656
  • Fax: 559-594-6926

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 NumberPHY34016
License Number StateCA

VIII. Authorized Official

Name: KEN WOMACK
Title or Position: PARTNER
Credential: PHARMD
Phone: 559-594-5656