| NPI | 1699846774 |
|---|---|
| Doing Business As | JEFFERSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BEATLE TRAN Owner 916-371-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY47083) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-03-22 |