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Organization
CGM PHARMACY CORPORATION
Active
Organization
CGM PHARMACY CORPORATION
Active
Other names
BLUE OAKS LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY ANNE VELILLA (SECRETARY)
(916) 771-4778
Entity
Organization
Contact information
Practice address
1340 BLUE OAKS BLVD STE 110, ROSEVILLE, CA 95678-7038
(916) 771-4778
(916) 771-0492
Mailing address
1340 BLUE OAKS BLVD STE 110, ROSEVILLE, CA 95678-7038
(916) 771-4778
(916) 771-0492
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY55112
CA
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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