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Organization
PHARMATOX, INC
Active
Organization
PHARMATOX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLA ROGERS (CEO)
(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
171M00000X
Case Manager/Care Coordinator
Primary
480016AP
CA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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