Provider Demographics
NPI:1750101382
Name:PLACERRX PHARMACY
Entity type:Organization
Organization Name:PLACERRX PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PERMINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:DALE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:916-521-9201
Mailing Address - Street 1:1912 STATE HIGHWAY 65 STE 180
Mailing Address - Street 2:
Mailing Address - City:WHEATLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95692-9002
Mailing Address - Country:US
Mailing Address - Phone:530-209-6545
Mailing Address - Fax:530-290-6788
Practice Address - Street 1:1912 STATE HIGHWAY 65 STE 120
Practice Address - Street 2:
Practice Address - City:WHEATLAND
Practice Address - State:CA
Practice Address - Zip Code:95692-9001
Practice Address - Country:US
Practice Address - Phone:916-521-9201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy