Organization · Type 2 NPI

Redwood Community Pharmacy

Internal Medicine Physician · Mckinleyville, CA

NPI number 1679353619 Active

Practice location

1567 City Center Rd
Mckinleyville, CA 95519-3600

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician Primary	207R00000X	None listed
Health Service Clinic/Center	261QH0100X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

4 other providers at this address

NPI record

NPI: 1679353619
Entity type: Organization (Type 2)
Issued: Oct 5, 2023
Last updated: Feb 11, 2025
Status: Active
Subpart: Yes

Other names

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Redwood Community Pharmacy · doing business as
Redwood Community Pharmacy · doing business as

Authorized official

Jennifer Anne Otting
Owner
(707) 633-4884

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679353619

Redwood Community Pharmacy's National Provider Identifier is 1679353619, issued on Oct 5, 2023. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Mckinleyville, CA. The record was last updated on Feb 11, 2025.