| NPI | 1033107438 |
|---|---|
| Doing Business As | COFFEE PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREA BARTELS Owner 209-522-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-06-26 |