| NPI | 1023027620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M CUETO Managed Care Operations Manager 925-210-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY47581) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |