NPI | 1093182172 |
---|---|
Entity Type | Organization |
Authorized Contact | BOGDAN MANDZYUK Pharmacist 916-533-3492 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 73011) |
Enumeration Date | 2015-08-25 |
Last Update Date | 2015-08-25 |