| NPI | 1619345527 |
|---|---|
| Other Name | BOTIKA LTC |
| Entity Type | Organization |
| Authorized Contact | REECE DE LEON PIC 408-378-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY53792) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2020-03-03 |