Crown Valley Pharmacy
Organization Active NPI Community/Retail Pharmacy · Acton, CA
NPI 1790082089 · NPPES record last updated Apr 11, 2016
Key facts
- NPI
- 1790082089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY51552 (CA)
- Legal business name
- CROWN VALLEY PHARMACY
- Practice address
- 3720 Sierra Hwy
Unit G
Acton, CA 93510-1272 - Phone
- (661) 269-9500
- Fax
- (661) 269-9501
- NPI assigned
- Feb 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Jenisa Chowdhury
- Title
- Owner, Store Manager
- Phone
- (661) 269-9500
Practitioners 2
-
Jenisa Nusrat Chowdhury, PHARMD
-
Salvatore Phillip Tarantino, R.PH.
National Provider Directory
Locations
3720 Sierra Hwy
Ste G
Acton, CA 93510
Phone (661) 269-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY51552 | CA | Yes |
Addresses
Primary practice location
3720 Sierra Hwy
Unit G
Acton, CA 93510-1272
Mailing address
3720 Sierra Hwy
Unit G
Acton, CA 93510-1272
Phone (661) 269-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128956 | Other | PK |
Other names
- Crown Valley Pharmacy
Other providers in Acton, CA
- Valerie Lynn Busch
- Jenisa Nusrat Chowdhury
- Donna Denise Conley
- Cordova Chiropractic and Wellness Inc
- Arturo Cordova Jr.
- Karen Elizabeth Curry-Cole
- Blake Christian Daniels
- Erica Dawson
- Daphne Julia De la Rosa
- Dr Elana Bigun Sleep Dental Corporation
All providers in Acton, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.