| NPI | 1568529915 |
|---|---|
| Doing Business As | INNOVA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIM T. LE President/CEO 916-481-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-10-22 |