| NPI | 1598218018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LUONG SUMNER Pharmacist 916-548-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA 29588) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |