Provider Demographics
NPI:1215922257
Name:ORLAND PHARMACY, INC.
Entity type:Organization
Organization Name:ORLAND PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:530-865-5902
Mailing Address - Street 1:32 E WALKER ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-1523
Mailing Address - Country:US
Mailing Address - Phone:530-865-5902
Mailing Address - Fax:530-865-9238
Practice Address - Street 1:32 E WALKER ST
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1523
Practice Address - Country:US
Practice Address - Phone:530-865-5902
Practice Address - Fax:530-865-9238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY44267333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA442670Medicaid
CAPHA442670Medicaid