Provider Demographics
NPI:1598790339
Name:OBJ INC
Entity Type:Organization
Organization Name:OBJ INC
Other - Org Name:RANCH SANTA FE PHARMACY AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRAUL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:858-756-3096
Mailing Address - Street 1:PO BOX 1188
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-1188
Mailing Address - Country:US
Mailing Address - Phone:858-756-3096
Mailing Address - Fax:858-756-4725
Practice Address - Street 1:6056 EL TORDO
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92067-1188
Practice Address - Country:US
Practice Address - Phone:858-400-1127
Practice Address - Fax:858-756-4725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY410243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy