| 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 |