| NPI | 1326183955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CASTAGNO Owner 209-466-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY45684) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-09-12 |