| NPI | 1952471450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY NOOTEBOOM Pharmacist In Charge 530-662-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA PHY 40465) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |