| NPI | 1689099202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UCHE DAVIS Owner 267-385-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA pp482421) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2020-04-01 |