Provider Demographics
NPI:1346814332
Name:PATTERSON FAMILY PHARMACY, INC.
Entity Type:Organization
Organization Name:PATTERSON FAMILY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:209-892-8444
Mailing Address - Street 1:101 S DEL PUERTO AVE
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-2544
Mailing Address - Country:US
Mailing Address - Phone:209-892-8444
Mailing Address - Fax:209-892-8472
Practice Address - Street 1:101 S DEL PUERTO AVE
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:CA
Practice Address - Zip Code:95363-2544
Practice Address - Country:US
Practice Address - Phone:209-892-8444
Practice Address - Fax:209-892-8472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy