| NPI | 1902961329 |
|---|---|
| Doing Business As | SACRAMENTO MED PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND FAT Pharm 916-739-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY34910) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-04-06 |