| NPI | 1396754891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN K. RENGE Owner/Pharmacist 559-264-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 21926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 33277) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY21926) | |
| 333600000X Pharmacy (Licence: CA PHY21926) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-05-25 |