| NPI | 1003821638 |
|---|---|
| Doing Business As | CERES DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | DEREK SMERNES CEO 209-537-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY30773) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-09-18 |