| NPI | 1659428985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BAUTISTA Op Pharmacy Mgr 916-688-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CA PHY39586) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |