| NPI | 1457913808 |
|---|---|
| Doing Business As | PROVERI PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVIS TRAN Manager 805-300-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2020-05-04 |