| NPI | 1124319264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EDWIN MAURINO Pharmacist 530-310-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 35354) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 35354) |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2011-04-24 |