Ivanhoe Pharmacy Inc
Community/Retail Pharmacy · Ivanhoe, CA
Practice location
33060 Road 159Ivanhoe, CA 93235-1235
- Phone
- (559) 798-1219
- Fax
- (559) 798-0975
NPI record
- NPI
- 1689927816
- Entity type
- Organization (Type 2)
- Enumeration date
- October 25, 2012
- Last updated
- December 3, 2013
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
PHY51138 | CA |
Authorized official
- Name
- Edward J Derderian, PHARM.D.; R.PH.
- Title
- Owner/Pharmacist
- Phone
- (559) 798-1219
About Ivanhoe Pharmacy Inc
Ivanhoe Pharmacy Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 33060 Road 159, Ivanhoe, CA 93235-1235. The NPI number 1689927816 was assigned on October 25, 2012 and the record was last updated on December 3, 2013.
Ivanhoe Pharmacy Inc lists a license in the registry: #PHY51138 (CA) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Edward J Derderian, PHARM.D.; R.PH., Owner/Pharmacist.
Frequently asked questions
What is the NPI number of Ivanhoe Pharmacy Inc?
The NPI number is 1689927816.
What is the phone number of Ivanhoe Pharmacy Inc?
The phone number listed for the practice location is (559) 798-1219.
Where is Ivanhoe Pharmacy Inc located?
33060 Road 159, Ivanhoe, CA 93235-1235.
What is the taxonomy code for Ivanhoe Pharmacy Inc?
The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.