| NPI | 1750543302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TECIA GAIL RYAN CEO, CFO, Sole Stockholder 510-385-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 27261) |
| Additional Taxonomies | 1835N1003X Pharmacist Nutrition Support (Licence: CA 27261) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |