| NPI | 1619056660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R O'CONNELL Pharmacist 707-571-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY45623) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-02-04 |