| NPI | 1003135393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE TENERELLI Manager Of Clinical Services 916-631-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 49649) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |