| NPI | 1407898265 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL CENTER OPT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN TRENT HUNTER VP Shared Services 916-297-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 030000061) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: CA HSP37596) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: CA HSP37596) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA HSP37596) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: CA HSP37596) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-12-02 |