Rancho San Miguel Pharmacy #21 is not a DME supplier for medicare equipments and products.
Rancho San Miguel Pharmacy #21 is a Community/Retail Pharmacy in Stockton, California. This pharmacy is owned and operated by Paqinc. It is located at 1409 S Airport Way, Stockton and it's customer support contact number is 209-939-9790. The authorized person of Rancho San Miguel Pharmacy #21 is Wade L. Fullmer, RPH. who is Pharmacist/pic of the pharmacy and his contact number is 209-939-0376. Active license number of Rancho San Miguel Pharmacy #21 is 50420 for Community/Retail Pharmacy in California. Rancho San Miguel Pharmacy #21 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:
Rancho San Miguel Pharmacy #21 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:
Rancho San Miguel Pharmacy #21
Type:
Community/Retail Pharmacy
Location:
1409 S Airport Way, Stockton, California, 95206-2319
Phone:
209-939-9790
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:
Wade L. Fullmer
Credentials:
RPH.
Position:
Pharmacist/pic
Contact Number:
209-939-0376
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:
1073818258
NPI Enumeration Date:
19 Jan, 2011
NPI Last Update On:
13 May, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rancho San Miguel Pharmacy #21 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
50420
California
Primary
Pharmacist
30915
California
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
50420
Other
California
Pharmacy Board License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1409 S Airport Way, Stockton, California
Zip:
95206-2319
Phone Number:
209-939-9790
Fax Number:
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Patients can reach Rancho San Miguel Pharmacy #21 at 1409 S Airport Way, Stockton, California or can call on customer care at 209-939-9790.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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