| NPI | 1609980671 |
|---|---|
| Doing Business As | MEDICAL DENTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIANA SMITH CEO 559-439-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY44342) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-07-22 |