Alisal Drug Stores Inc
Organization Active NPI Community/Retail Pharmacy · Pleasanton, CA
NPI 1790796373 · NPPES record last updated Jun 8, 2015
Key facts
- NPI
- 1790796373
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY35651 (CA)
- Legal business name
- ALISAL DRUG STORES INC
- Practice address
- 4271 1St St
Pleasanton, CA 94566-7123 - Phone
- (925) 846-4455
- Fax
- (925) 846-2635
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Regina Woeger
- Title
- VP
- Phone
- (925) 864-4455
Practitioners 1
National Provider Directory
Locations
4271 1st St
Pleasanton, CA 94566
Phone (925) 846-4455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY35651 | CA | Yes |
Addresses
Primary practice location
4271 1St St
Pleasanton, CA 94566-7123
Mailing address
4271 1St St
Pleasanton, CA 94566-7123
Phone (925) 846-4455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA356510 | Medicaid | CA | |
| 1996637 | Other | PK |
Other names
- Pleasanton Custom Care Pharmacy
Other providers in Pleasanton, CA
- Frieda Alessi
- Dennis Keith Alfaro
- Yvonne Guadalupe Alger
- Ahmed Zulfiqar Ali
- Mudassir S Ali
- Carrington V Allen
- Jody Ann Allen
- Molly Michael Allen
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All providers in Pleasanton, 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 Jun 8, 2015. 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.