Shasta Lake Drug Store Inc
Community/Retail Pharmacy
4222 Shasta Dam Blvd, Shasta Lake
California, 96019-9422
530-275-2700 530-275-2800
Shasta Lake Drug Store Inc is a Community/Retail Pharmacy in Shasta Lake, California. It is located at 4222 Shasta Dam Blvd, Shasta Lake and it's customer support contact number is 530-275-2700. The authorized person of Shasta Lake Drug Store Inc is Jodi Walsh who is Officer/secretary of the pharmacy and his contact number is 530-339-1445. Active license number of Shasta Lake Drug Store Inc is 51277 for Community/Retail Pharmacy in California.
Shasta Lake Drug Store Inc 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:
Shasta Lake Drug Store Inc 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: | Shasta Lake Drug Store Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 4222 Shasta Dam Blvd, Shasta Lake,
California, 96019-9422 |
| Phone: | 530-275-2700 |
| Fax: | 530-275-2800 |
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: | Jodi Walsh |
| Position: | Officer/secretary |
| Contact Number: | 530-339-1445 |
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: | 1568803260 |
| NPI Enumeration Date: | 10 Jul, 2013 |
| NPI Last Update On: | 01 Aug, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shasta Lake Drug Store Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 51277 | 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 |
| 2138099 | Other | | Pk |
| PHA512770 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 991179,
Redding, California |
| Zip: | 96099-1179 |
| Phone Number: | 530-275-2700 |
| Fax Number: | 530-275-2800 |
Patients can reach Shasta Lake Drug Store Inc at
4222 Shasta Dam Blvd, Shasta Lake, California or can
call on customer care at 530-275-2700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.