| NPI | 1366440844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY L GIRARD Operations Manager 925-288-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: CA PHY44634) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-22 |