# SUTTER HEALTH SACRAMENTO SIERRA REGION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sutter Midtown Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295893121
- **Authorized official:** CARL R. RED R.PH. (PHARMACIST IN CHARGE)
- **Authorized official phone:** (916) 454-6744

## Contact information

- **Practice address:** 2800 L ST, SUITE 450, SACRAMENTO, CA 95816-5616
- **Practice address phone:** (916) 454-6744
- **Practice address fax:** (916) 454-6745
- **Mailing address:** 2800 L ST, SUITE 450, SACRAMENTO, CA 95816-5616
- **Mailing address phone:** (916) 454-6744
- **Mailing address fax:** (916) 454-6745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY42089 | CA | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0546993 | NCPDP NUMBER | — |
| 05 | — | PHA420890 | — | CA |
| 01 | — | PHY42089 | PHARMACY LICENSE NUMBER | CA |