| NPI | 1013064344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RULE Op Pharmacy Mgr 916-746-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CA PHY40893) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |