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Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Other names
Sutter Midtown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R. RED R.PH. (PHARMACIST IN CHARGE)
(916) 454-6744
Entity
Organization
Contact information
Practice address
2800 L ST, SUITE 450, SACRAMENTO, CA 95816-5616
(916) 454-6744
(916) 454-6745
Mailing address
2800 L ST, SUITE 450, SACRAMENTO, CA 95816-5616
(916) 454-6744
(916) 454-6745
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY42089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0546993
NCPDP NUMBER
—
05
—
PHA420890
—
CA
01
—
PHY42089
PHARMACY LICENSE NUMBER
CA
Enumeration date
12/04/2006
Last updated
03/07/2023
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