Healthcare Provider Details

I. General information

NPI: 1447850623
Provider Name (Legal Business Name): STERLING HATTERAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 E CYPRESS AVE STE 300
REDDING CA
96002-1038
US

IV. Provider business mailing address

315 E JULIAN ST
SAN JOSE CA
95112-3315
US

V. Phone/Fax

Practice location:
  • Phone: 530-413-0370
  • Fax: 530-413-0370
Mailing address:
  • Phone: 530-413-0370
  • Fax: 530-413-0370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL JAMES MARKHAM
Title or Position: OWNER
Credential:
Phone: 530-413-0370