| NPI | 1013202829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VANG CEO 916-393-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY50637) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2022-03-11 |