| NPI | 1033368899 |
|---|---|
| Doing Business As | FORTY NINE DRUG COMPANY #2 |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE SMITH Owner / PIC 209-956-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY49148) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |