Provider Demographics
NPI:1871693796
Name:CA&K INC. DBA PRICE RITE PHARMACY
Entity type:Organization
Organization Name:CA&K INC. DBA PRICE RITE PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:760-893-8331
Mailing Address - Street 1:6010 HIDDEN VALLEY RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-4213
Mailing Address - Country:US
Mailing Address - Phone:760-893-8331
Mailing Address - Fax:760-893-8334
Practice Address - Street 1:6010 HIDDEN VALLEY RD
Practice Address - Street 2:SUITE 135
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-4213
Practice Address - Country:US
Practice Address - Phone:760-893-8331
Practice Address - Fax:760-893-8334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4225183700000X
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0517702OtherNABP
CAPHA371550Medicaid
CAPHA53750Medicaid
CAPHA53750Medicaid