| NPI | 1225199359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ORTEGO President, Pharmacist In Charge 916-224-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 58917) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-01-16 |