| NPI | 1689656704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATAP K ANNE Pharmacy Director 209-634-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2024-07-17 |