Pharmblue California LLC

Organization Active NPI Community/Retail Pharmacy · Point Arena, CA

NPI 1073671293 · NPPES record last updated Apr 26, 2018

Key facts

NPI
1073671293
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
53368 (CA)
Legal business name
PHARMBLUE CALIFORNIA LLC
Practice address
235 Main St
Point Arena, CA 95468
Phone
(707) 882-3025
Fax
(707) 882-3084
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

Name
Joseph Pohl
Title
Ceo/Ao
Phone
(724) 779-4720

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 53368 CA Yes
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

235 Main St
Point Arena, CA 95468

Mailing address

PO Box 133
Point Arena, CA 95468-0133
Phone (724) 779-4720

Other identifiers

IdentifierTypeStateIssuer
1073671293MedicaidCA
2153548OtherPK

Other providers in Point Arena, CA

All providers in Point Arena, CA · Community/Retail Pharmacy in California

Sources for this page

Verify at the official NPI Registry.