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1821205162
HEALTH SERVICES AGENCY OUTPATIENT PHARMACY
MODESTO, CA
NPI
1821205162
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Entity Type
Organization
Authorized Contact
MARY ANN LEE
Hsa Director
209-558-7000
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA PHE20138)
Enumeration Date
2007-05-17
Last Update Date
2007-09-04
Business Address
HEALTH SERVICES AGENCY OUTPATIENT PHARMACY
830 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-5697
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Mailing Address
HEALTH SERVICES AGENCY OUTPATIENT PHARMACY
830 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-5697
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