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Organization
PHARMATOX, INC.
Active
Organization
PHARMATOX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CLIFTON MEREDITH PHD (DIRECTOR OF CLINICAL SERVICES)
(707) 435-8042
Entity
Organization
Contact information
Practice address
1143 MISSOURI ST, FAIRFIELD, CA 94533-6007
(707) 435-8042
(707) 435-1527
Mailing address
1143 MISSOURI ST, FAIRFIELD, CA 94533-6007
(707) 435-8042
(707) 435-1527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
480016AP
CA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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