| NPI | 1568907475 |
|---|---|
| Doing Business As | CALAVERAS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FONGCHUN WANG Secretary 408-262-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 54659) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2016-12-31 |