Sutter Central Valley Hospitals
Pharmacy, Institutional Pharmacy in Modesto, CA. Organization (NPI-2).
NPI number1043246747
StatusActive
Last updated in NPPESOct 6, 2010
Details
- NPI
- 1043246747
- Entity type
- Organization (NPI-2)
- Legal business name
- Sutter Central Valley Hospitals
- Organization subpart
- No
- Enumeration date
- Jun 24, 2006
- Last updated
- Oct 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336I0012X | Pharmacy, Institutional Pharmacy | HSP37596 | CA | Yes |
Other names
- Memorial Medical Center Outpatient Pharm (Doing Business As)
Practice location
1800 Coffee RdSuite 110
Modesto, CA 95355-2705
Phone 209-572-7132 · Fax 209-572-7077
Mailing address
1800 Coffee RdSuite 110
Modesto, CA 95355-2705
Phone 209-572-7132 · Fax 209-572-7077
Authorized official
James Breshears
Director Of Pharmacy
2095697352
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