| NPI | 1467869453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HIERLING Clinical Administrator 916-852-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 70368141701) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |