Michael T Peters
Michael T Peters is a Community/Retail Pharmacy in Valley Springs, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
1919 Vista Del Lago Dr Ste 6Valley Springs, CA 95252-9294
Phone: (209) 772-1633
Fax: (209) 772-1676
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 PHY49019 (CA) |
|---|---|
| Compounding Pharmacy | Taxonomy 3336C0004X |
| Mail Order Pharmacy | Taxonomy 3336M0002X |
Record details
| NPI number | 1720244353 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Peters — Owner · (209) 473-1762 |
| Other names | Country Club Drug Store |
| NPI enumerated | August 4, 2008 |
| Last updated in NPPES | June 29, 2009 |
| Mailing address | 7302 Larkspur Ln, Stockton, CA 95207-1629 |
Other providers in Valley Springs
-
Sunrise Pharmacy Inc
51 Wellness Way #110, Valley Springs, CA 95252-9525 · (209) 772-9088