NPI Code Details Logo

NPI 1043385628

NPI 1043385628 : PRICE LESS DRUG STORE : CARMICHAEL, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043385628
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PRICE LESS DRUG STORE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/21/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7223 FAIR OAKS BLVD 
-----------------------------------------------------
    City                 |    CARMICHAEL
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95608-6410
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    916-483-9961
-----------------------------------------------------
    Fax                  |    916-483-9998
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7223 FAIR OAKS BLVD 
-----------------------------------------------------
    City                 |    CARMICHAEL
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95608-6410
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIR OF PHCY SVCS
-----------------------------------------------------
    Name                 |     WILLIAM  WALTER 
-----------------------------------------------------
    Credential           |    RPH
-----------------------------------------------------
    Telephone            |    916-638-0214
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    PHY34988
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.