| NPI | 1164429700 |
|---|---|
| Doing Business As | FIFTH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOYAL HUTCHISON Pres 209-446-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY21900) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2010-05-04 |