| NPI | 1841599008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CASTAGNO Pharmacist 209-948-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 43978) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2011-03-26 |