| NPI | 1841255429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BUNSE Owner 916-782-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 021562) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-19 |