Provider Demographics
NPI:1790442952
Name:TEHAMA PHARMACY AND TRADING COMPANY
Entity Type:Organization
Organization Name:TEHAMA PHARMACY AND TRADING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:530-527-4636
Mailing Address - Street 1:401 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-3319
Mailing Address - Country:US
Mailing Address - Phone:530-527-4636
Mailing Address - Fax:530-527-1344
Practice Address - Street 1:401 WALNUT ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-3319
Practice Address - Country:US
Practice Address - Phone:530-527-4636
Practice Address - Fax:530-527-1344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty