| NPI | 1811052202 |
|---|---|
| Doing Business As | TABLE MOUNTAIN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J PALMER Pharmacist / Owner 530-532-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 36865) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 36865) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-08-13 |