| NPI | 1861080236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATAP KRISHNA ANNE Pharmacy Director 916-836-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2023-05-25 |