Healthcare Provider Details

I. General information

NPI: 1881479129
Provider Name (Legal Business Name): CALIFORNIA PET PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3157 CORPORATE PL
HAYWARD CA
94545-3915
US

IV. Provider business mailing address

3157 CORPORATE PL
HAYWARD CA
94545-3915
US

V. Phone/Fax

Practice location:
  • Phone: 800-257-5007
  • Fax: 877-554-4795
Mailing address:
  • Phone: 800-257-5007
  • Fax: 877-554-4795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JASPREET LALLI
Title or Position: PRESIDENT
Credential: DVM
Phone: 800-257-5007