| NPI | 1306366950 |
|---|---|
| Doing Business As | BLUE OAKS LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GLORY ANNE VELILLA Secretary 916-771-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY55112) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |