| NPI | 1073220752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALBERT SCHROER Pharmacist In Charge 559-223-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |