| NPI | 1487891438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATAP K ANNE Pharmacist Incharge 209-474-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 49785) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY 49785) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY 49785) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2020-03-30 |