Provider Demographics
NPI:1912138413
Name:NATURES PHARMACY INC
Entity Type:Organization
Organization Name:NATURES PHARMACY INC
Other - Org Name:NATURE'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-734-2478
Mailing Address - Street 1:207 W MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6255
Mailing Address - Country:US
Mailing Address - Phone:559-734-2478
Mailing Address - Fax:559-734-2476
Practice Address - Street 1:207 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6255
Practice Address - Country:US
Practice Address - Phone:559-734-2478
Practice Address - Fax:559-734-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 489843336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5635264OtherNCPDP PROVIDER IDENTIFICATION NUMBER