FORT BRAGG PHARMACY INC
Pharmacy at Boatyard Dr, Fort Bragg, CA

License number
California PHY44371
Category
Suppliers
Type
Pharmacy
Owner
Name: ANDREW VAN LIEN
Title: PHCY MGR
Phone: (707) 964-1057
Address
Address
189 Boatyard Dr, Fort Bragg, CA 95437
National Provider ID: 1841205440
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FORT BRAGG PHARMACY COMPANY

189 Boatyard Dr, Fort Bragg, CA 95437

Status:
Inactive
Industry:
Ret Drugs/Sundries
Registration:
Jul 6, 2005
Phone:
(707) 964-1057 (Phone)
State ID:
C2758565
Business type:
Articles of Incorporation
Presidents:
Andrew Lein President, inactive,Andrew Lien President, inactive

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