| NPI | 1962512632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN S SINGMASTER Secretary 916-373-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH00449) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-09-02 |