| NPI | 1255045118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BUCHANAN Manager 925-708-1881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |