Provider Demographics
NPI:1356367775
Name:PENNY WISE DRUG CO.
Entity type:Organization
Organization Name:PENNY WISE DRUG CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSATI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:831-637-3722
Mailing Address - Street 1:549 SAN BENITO ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3956
Mailing Address - Country:US
Mailing Address - Phone:831-637-3722
Mailing Address - Fax:831-637-6187
Practice Address - Street 1:549 SAN BENITO ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3956
Practice Address - Country:US
Practice Address - Phone:831-637-3722
Practice Address - Fax:831-637-6187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY344963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy