| NPI | 1144853060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALADIAR JONATHAN PORTEUS Chief Executive Officer 916-313-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |