| NPI | 1295893121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R. RED Pharmacist In Charge 916-454-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY42089) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-03-07 |