| NPI | 1033766282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L RIDDLE Office Manager 530-588-1325 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 282E00000X |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-10-14 |