| NPI | 1417052937 |
|---|---|
| Doing Business As | EL DORADO DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BENNETT Owner 209-464-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-09-17 |