| NPI | 1265202725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE THOMAS Credentialing COO Rdinator 925-941-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2025-03-07 |