Nugget Market Pharmacy

LBN: Nugget Market Pharmacy
Nugget Market Pharmacy is an health care organization with primary practice located at 157 Main St , Woodland CA 95695-3125. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as the primary health care specialty. Nugget Market Pharmacy can be contacted via phone (530) 662-0961, or through Nooteboom, Gary via phone (530) 662-0961.

Contact Information

Primary practice address
157 Main St Woodland CA 95695-3125
Phone: (530) 662-0961
Fax: (530) 668-5597
Website:
Map and Directions
Authorized official contact:
Name: Nooteboom, Gary RPH
Phone: (530) 662-0961

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PHY 40465 California

Profile Details

NPI number 1952471450
LBN Legal business name Nugget Market Pharmacy
DBA Doing business as
Authorized official Nooteboom, Gary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952471450 NPPES
California MEDICAID PHA404650

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