Organization · Type 2 NPI

Petra Pharmacy Corp

Community/Retail Pharmacy · San Jacinto, CA

NPI number 1104901131 Active

Practice location

1477 S San Jacinto Ave
San Jacinto, CA 92583-5105

Call (951) 927-5710 Map

Fax (951) 927-9834

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XPHY54602 (CA)
Home Infusion Therapy Pharmacy 3336H0001XNone listed
Long Term Care Pharmacy 3336L0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Other community/retail pharmacy providers in San Jacinto

See all in San Jacinto →

About NPI 1104901131

Petra Pharmacy Corp's National Provider Identifier is 1104901131, issued on Oct 26, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Jacinto, CA. The record was last updated on Mar 23, 2026.