Organization · Type 2 NPI

Imgrx SJ Valley, Inc.

Community/Retail Pharmacy · Mendota, CA

NPI number 1871695130 Active

Practice location

121 Barboza St, Building 3
Mendota, CA 93640-1901

Call (559) 655-5000 Map

Fax (559) 655-9604

Mailing address

Attn: Chc Retail Pharmacy Dept. 13651 Dublin Ct
Stafford, TX 77477

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY 54517 (CA)

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 …

23 other providers at this address

Other community/retail pharmacy providers in Mendota

Mendota Pharmacy IncCommunity/Retail Pharmacy Mendota, CA NPI 1609462597

See all in Mendota →

NPI record

NPI: 1871695130
Entity type: Organization (Type 2)
Issued: Sep 5, 2006
Last updated: Sep 20, 2022
Status: Active
Subpart: Yes of Imgrx SJ Valley, Inc.

Other names

<unavail>
United Health Centers Pharmacy Mendota · doing business as
United Health Centers Pharmacy Mendota · doing business as

Authorized official

Michael Brown
Vice President, Managed Services
(281) 749-4764

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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 1871695130

Imgrx SJ Valley, Inc.'s National Provider Identifier is 1871695130, issued on Sep 5, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mendota, CA. The record was last updated on Sep 20, 2022.