| NPI | 1992848055 |
|---|---|
| Doing Business As | CARRANZA PHARMACY MODESTO |
| Entity Type | Organization |
| Authorized Contact | JOSE CARRANZA Pres 209-538-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50834) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-07-19 |