# SONORA COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386603074
- **Authorized official:** DENISE BUTTON (PHARMACY ANALYST)
- **Authorized official phone:** (209) 536-3698

## Contact information

- **Practice address:** 1000 GREENLEY RD, SONORA, CA 95370-5200
- **Practice address phone:** (209) 536-3690
- **Practice address fax:** (209) 536-3510
- **Mailing address:** 1000 GREENLEY RD, SONORA, CA 95370-5200
- **Mailing address phone:** (209) 536-3690
- **Mailing address fax:** (209) 536-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP40239 | CA | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 03/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1386603074 | — | CA |