Healthcare Provider Details

I. General information

NPI: 1750101382
Provider Name (Legal Business Name): PLACERRX PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1912 STATE HIGHWAY 65 STE 120
WHEATLAND CA
95692-9001
US

IV. Provider business mailing address

1912 STATE HIGHWAY 65 STE 180
WHEATLAND CA
95692-9002
US

V. Phone/Fax

Practice location:
  • Phone: 916-521-9201
  • Fax:
Mailing address:
  • Phone: 530-209-6545
  • Fax: 530-290-6788

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 Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. PERMINDER SINGH DALE
Title or Position: OWNER/PHARMACIST
Credential: PHARM.D.
Phone: 916-521-9201