Redwood Community Pharmacy | |
1567 City Center Rd Mckinleyville CA 95519-3600 | |
(707) 633-4884 | |
Not Available |
Full Name | Redwood Community Pharmacy |
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Speciality | Internal Medicine |
Location | 1567 City Center Rd, Mckinleyville, California |
Authorized Official Name and Position | Christina Elizabeth Bobowski (OWNER) |
Authorized Official Contact | 7076334884 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Redwood Community Pharmacy 1567 City Center Rd Mckinleyville CA 95519-3600 Ph: (707) 633-4884 | Redwood Community Pharmacy 1567 City Center Rd Mckinleyville CA 95519-3600 Ph: (707) 633-4884 |
NPI Number | 1679353619 |
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Provider Enumeration Date | 10/05/2023 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 6709260367 |
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Medicare Enrollment ID | O20231228001994 |
Identifier | Type | State | Issuer |
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1679353619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Provider Name | Harneet S Bath |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679747760 PECOS PAC ID: 4880755941 Enrollment ID: I20081208000234 |
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