| NPI | 1265963672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PORTER District Pharmacy Manager 925-344-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13670-040) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |