Provider Demographics
NPI:1871219410
Name:YUBA CITY RX LLC
Entity type:Organization
Organization Name:YUBA CITY RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRATAP
Authorized Official - Middle Name:KRISHNA
Authorized Official - Last Name:ANNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-441-6993
Mailing Address - Street 1:229 CLARK AVE STE P
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5363
Mailing Address - Country:US
Mailing Address - Phone:530-760-8333
Mailing Address - Fax:530-760-8333
Practice Address - Street 1:229 CLARK AVE STE P
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5363
Practice Address - Country:US
Practice Address - Phone:530-760-8333
Practice Address - Fax:530-760-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy