| NPI | 1558363028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GENE VERMILLION Pharmacist/Owner 559-734-5893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY44492) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY44492) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: CA PHY44492) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA PHY44492) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: CA PHY44492) | |
| 183500000X Pharmacist (Licence: CA PHY44492) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2010-02-24 |