KENNETH TA

SANTA ROSA, CA
NPI1376346494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  92485)
Enumeration Date2025-04-01
Last Update Date2026-09-14
Business Address
KENNETH TA
2300 MENDOCINO AVE
SANTA ROSA, CA 95403-3115
Phone number: 707-569-3111
Mailing Address
KENNETH TA
2300 MENDOCINO AVE
SANTA ROSA, CA 95403-3115
Phone number: 707-569-3111
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