| NPI | 1043385628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALTER Dir Of Phcy Svcs 916-638-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY34988) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |