| NPI | 1912480898 |
|---|---|
| Doing Business As | RENAISSANCE RX |
| Entity Type | Organization |
| Authorized Contact | ROBERT HAYWOOD Manager 510-610-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |