Organization · Type 2 NPI

Imgrx Sonoma Inc

Community/Retail Pharmacy · Sonoma, CA

NPI number 1952759664 Active

Practice location

19270 Sonoma Hwy, Suite A
Sonoma, CA 95476

Call (512) 596-2930 Map

Fax (707) 939-6056

Mailing address

13651 Dublin Ct
Stafford, TX 77477-4317

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY54507 (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 …

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NPI record

NPI: 1952759664
Entity type: Organization (Type 2)
Issued: Jun 3, 2016
Last updated: Sep 15, 2022
Status: Active
Subpart: Yes of Imgrx Sonoma Inc

Other names

<unavail>
Sonoma Valley Community Pharmacy · doing business as
Sonoma Valley Community Pharmacy · 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 1952759664

Imgrx Sonoma Inc's National Provider Identifier is 1952759664, issued on Jun 3, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Sonoma, CA. The record was last updated on Sep 15, 2022.