| NPI | 1417891953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATAP KRISHNA ANNE Pharmacy Director 209-395-0555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-06-05 |