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Provider Information for 1578546008


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DRUG THERAPY SYSTEMS COMPANY

Other Names:  
Doing Business As: 
PARADISE DRUG

Organization Subpart: YES

NPI: 1578546008
Last Updated: 2015-03-25
Certification Date:

Details

NameValue
NPI1578546008
Enumeration Date2005-11-29
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mrs. JANET AMPARO BALBUTIN PharmD
Title: Owner
Phone: 5308774981
Mailing Address 6240 CLARK RD
STE B
PARADISE, CA 95969-4167
United States

Phone: 530-877-4981 | Fax:530-877-1048
 
Primary Practice Address 6240 CLARK RD
STE B
PARADISE, CA 95969-4167
United States

Phone: 530-877-4981 | Fax:530-877-1048
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCAPHA455680
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 193400000X - Single Specialty Group
183500000X - Pharmacist
CARPH25833
No 332B00000X - Durable Medical Equipment & Medical Supplies CAPHA455680
Yes 333600000X - Pharmacy CAPHA455680