Provider Demographics
NPI:1639635451
Name:PEOPLE'S PHARMACY # 3
Entity Type:Organization
Organization Name:PEOPLE'S PHARMACY # 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:GAURAV
Authorized Official - Middle Name:
Authorized Official - Last Name:FALDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-982-8224
Mailing Address - Street 1:4813 COFFEE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-9473
Mailing Address - Country:US
Mailing Address - Phone:661-679-7363
Mailing Address - Fax:
Practice Address - Street 1:4813 COFFEE RD STE 300
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-9473
Practice Address - Country:US
Practice Address - Phone:661-679-7363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy