| NPI | 1598903130 |
|---|---|
| Doing Business As | PARKSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN ORTEGO President/Pharmacist In Charge 916-224-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 49289) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2010-01-13 |