| |
4050 Phelan Rd Ste 8 Phelan CA 92371-4454 | |
(760) 868-2800 | |
(760) 868-5252 |
Full Name | |
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Speciality | Pharmacy |
Location | 4050 Phelan Rd Ste 8, Phelan, California |
Authorized Official Name and Position | Rachelle Davis (PHARMACIST/OWNER) |
Authorized Official Contact | 7608682800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4050 Phelan Rd Ste 8 Phelan CA 92371-4454 Ph: (760) 868-2800 | 4050 Phelan Rd Ste 8 Phelan CA 92371-4454 Ph: (760) 868-2800 |
NPI Number | 1992162077 |
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Provider Enumeration Date | 01/20/2016 |
Last Update Date | 11/08/2024 |
Medicare PECOS PAC ID | 6800207119 |
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Medicare Enrollment ID | O20201117002646 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992162077 | NPI | - | NPPES |
2157699 | Other | PK |
Family Medical Clinic & Urgent Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9723 Sierra Vista Rd, Unit A, Phelan, CA 92371 Phone: 760-868-1990 Fax: 760-868-1201 |