Maravich Enterprises
Maravich Enterprises is a Pharmacy in Hidden Valley Lake, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
19851 Hartmann Rd Unit CHidden Valley Lake, CA 95467-8307
Phone: (707) 987-3995
Fax: (707) 987-3120
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY51432 (CA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1790116861 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Maravich — Managing Member · (707) 987-3995 |
| Other names | Hidden Valley Pharmacy |
| NPI enumerated | November 27, 2013 |
| Last updated in NPPES | August 4, 2015 |
| Mailing address | 19851 Hartmann Rd, Unit C, Hidden Valley Lake, CA 95467-8307 |