Waterfront Pharmacy Ltc Llc
Long Term Care Pharmacy
123 S Commerce St Ste A, Stockton
California, 95202-2837
209-298-1715 559-369-2408
Waterfront Pharmacy Ltc Llc is a Long Term Care Pharmacy in Stockton, California. It is located at 123 S Commerce St Ste A, Stockton and it's customer support contact number is 209-298-1715. The authorized person of Waterfront Pharmacy Ltc Llc is Mr. Chandra Kadiyala who is Ceo of the pharmacy and his contact number is 509-392-1958.
Waterfront Pharmacy Ltc Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Waterfront Pharmacy Ltc Llc 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: | Waterfront Pharmacy Ltc Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 123 S Commerce St Ste A, Stockton,
California, 95202-2837 |
| Phone: | 209-298-1715 |
| Fax: | 559-369-2408 |
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: | Mr. Chandra Kadiyala |
| Position: | Ceo |
| Contact Number: | 509-392-1958 |
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: | 1114696382 |
| NPI Enumeration Date: | 09 Sep, 2021 |
| NPI Last Update On: | 18 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waterfront Pharmacy Ltc Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
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 |
| PHY58030 | Other | California | Pharmacy 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: | 123 S Commerce St Ste A,
Stockton, California |
| Zip: | 95202-2837 |
| Phone Number: | 209-929-1093 |
| Fax Number: | 209-929-1096 |
Patients can reach Waterfront Pharmacy Ltc Llc at
123 S Commerce St Ste A, Stockton, California or can
call on customer care at 209-298-1715.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.