| NPI | 1598042905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM CRAFT Pharmacist 408-723-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 47016) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |