Healthcare Provider Details

I. General information

NPI: 1467456731
Provider Name (Legal Business Name): OXNARD DRUG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 5TH ST
OXNARD CA
93030-7105
US

IV. Provider business mailing address

105 W 5TH ST
OXNARD CA
93030-7105
US

V. Phone/Fax

Practice location:
  • Phone: 805-483-2115
  • Fax: 805-483-8585
Mailing address:
  • Phone: 805-483-2115
  • Fax: 805-483-8585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY46460
License Number StateCA

VIII. Authorized Official

Name: MR. JOE MATTHEW HOFFMAN III
Title or Position: PRESIDENT
Credential: RPH
Phone: 805-483-2115