1104901131 PETRA PHARMACY CORP
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- PETRA PHARMACY CORP
- Enumeration Date
- October 26, 2006
- Last Update
- May 28, 2024
- Authorized Official
- MS. LINDA RABADI
CFO
Phone: (951) 654-2791
Practice Location
- Address
- 1477 S SAN JACINTO AVE
SAN JACINTO, CA 925835105 - Phone
- (951) 927-5710
- Fax
- (951) 927-9834
Mailing Address
- Address
- 1477 S SAN JACINTO AVE
SAN JACINTO, CA 925835105 - Phone
- (951) 927-5710
- Fax
- (951) 927-9834
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Long Term Care Pharmacy Long Term Care Pharmacy | 3336L0003X | Pharmacy | N/A | N/A | No |
| Home Infusion Therapy Pharmacy Home Infusion Therapy Pharmacy | 3336H0001X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | PHY54602 | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0574271 | 01 | CA | NCPDP # |
| 1104901131 | 01 | CA | NPI |
| PHY54602 | 01 | CA | PHARMACY PERMIT |
| PHA546020 | 05 | CA | N/A |
Frequently Asked Questions
What is PETRA PHARMACY CORP's NPI number?
PETRA PHARMACY CORP's NPI number is 1104901131.
Which doctor has NPI number 1104901131?
The doctor with NPI number 1104901131 is PETRA PHARMACY CORP.
What is PETRA PHARMACY CORP's practice address?
PETRA PHARMACY CORP's practice address is 1477 S SAN JACINTO AVE, SAN JACINTO, CA, 925835105.
Which doctor practices at 1477 S SAN JACINTO AVE, SAN JACINTO, CA, 925835105?
PETRA PHARMACY CORP practices at 1477 S SAN JACINTO AVE, SAN JACINTO, CA, 925835105.
What is PETRA PHARMACY CORP's phone number?
PETRA PHARMACY CORP's phone number is (951) 927-5710.
Who is (951) 927-5710?
(951) 927-5710 is the phone number for PETRA PHARMACY CORP.
What is PETRA PHARMACY CORP's specialty?
PETRA PHARMACY CORP's specialty is Community/Retail Pharmacy.
What type of doctor is PETRA PHARMACY CORP?
PETRA PHARMACY CORP is a Community/Retail Pharmacy.
Is PETRA PHARMACY CORP a Community/Retail Pharmacy?
Yes, PETRA PHARMACY CORP is a Community/Retail Pharmacy.
Is PETRA PHARMACY CORP still practicing?
Yes, PETRA PHARMACY CORP is currently practicing.
Is PETRA PHARMACY CORP accepting new patients?
PETRA PHARMACY CORP may be accepting new patients. Please call their office at (951) 927-5710 to inquire about availability.
Is NPI 1104901131 still active?
Yes, NPI 1104901131 is currently active.
Where does PETRA PHARMACY CORP practice?
PETRA PHARMACY CORP practices in SAN JACINTO, CA.