Maravich Enterprises
Community/Retail Pharmacy
19851 Hartmann Rd, Unit C, Hidden Valley Lake
California, 95467-8307
707-987-3995 707-987-3120
Maravich Enterprises is a Community/Retail Pharmacy in Hidden Valley Lake, California. It is located at 19851 Hartmann Rd, Unit C, Hidden Valley Lake and it's customer support contact number is 707-987-3995. The authorized person of Maravich Enterprises is Michael Maravich, PHARMD who is Managing Member of the pharmacy and his contact number is 707-987-3995. Active license number of Maravich Enterprises is PHY51432 for Community/Retail Pharmacy in California.
Maravich Enterprises is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Maravich Enterprises type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Maravich Enterprises |
| Type: | Community/Retail Pharmacy |
| Location: | 19851 Hartmann Rd, Unit C, Hidden Valley Lake,
California, 95467-8307 |
| Phone: | 707-987-3995 |
| Fax: | 707-987-3120 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Michael Maravich |
| Credentials: | PHARMD |
| Position: | Managing Member |
| Contact Number: | 707-987-3995 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1790116861 |
| NPI Enumeration Date: | 27 Nov, 2013 |
| NPI Last Update On: | 04 Aug, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maravich Enterprises are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY51432 | California | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3765640 | Medicaid | California | |
| 2143179 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 19851 Hartmann Rd, Unit C
Hidden Valley Lake, California |
| Zip: | 95467-8307 |
| Phone Number: | 707-987-3995 |
| Fax Number: | 707-987-3120 |
Patients can reach Maravich Enterprises at
19851 Hartmann Rd, Unit C, Hidden Valley Lake, California or can
call on customer care at 707-987-3995.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.