| NPI | 1477400349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HUBBARD Reimbursement Analyst 916-297-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-11 |