| NPI | 1174040943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON Pharmacist In Charge 916-428-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 208840) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |