Shasta Lake Drug Store Inc
Shasta Lake Drug Store Inc is a Pharmacy in Shasta Lake, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4222 Shasta Dam BlvdShasta Lake, CA 96019-9422
Phone: (530) 275-2700
Fax: (530) 275-2800
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 51277 (CA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1568803260 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jodi Walsh — Officer/Secretary · (530) 339-1445 |
| Other names | Shasta Lake Drug Store |
| NPI enumerated | July 10, 2013 |
| Last updated in NPPES | August 1, 2013 |
| Mailing address | Po Box 991179, Redding, CA 96099-1179 |