| NPI | 1669111365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L CHISSIE Patient Account Manager 530-751-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |