Healthcare Provider Details

I. General information

NPI: 1669468435
Provider Name (Legal Business Name): THOMAS SHILTON CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 10/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 N ASHWOOD AVE STE B
VENTURA CA
93003-1810
US

IV. Provider business mailing address

90 N ASHWOOD AVE STE B
VENTURA CA
93003-1810
US

V. Phone/Fax

Practice location:
  • Phone: 805-620-4899
  • Fax: 805-832-6245
Mailing address:
  • Phone: 805-642-4135
  • Fax: 805-642-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number50507
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AKSHAI PATEL
Title or Position: OWNER
Credential:
Phone: 831-424-8053