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TAHOE CITY PLAZA PHARMACY

Medical Equipment Supplier Yellow Pages

Tahoe City, California

Provider NPI: 1134297906

Organization Information:
Organization Name:  TAHOE CITY PLAZA PHARMACY


Practice Location:
599 NORTH LAKE BLVD  TAHOE CITY, CA 96145 US
Tel: 530-583-3888  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
CAPHY 43340

Other Provider Identifiers:

IssuerNumberStateType
DEA REGISTRATION NUMBERBT5961075CA01
RETAIL PHARMACY PERMITPHY 43340CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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