| NPI | 1043633761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SEY Chief Admistrative Officer 209-339-7439 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA HSP37642) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |