# GOLDEN ROSE PHARMACY INC.

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

## Provider details

- **NPI number:** 1922708684
- **Authorized official:** FARIBA CLAPPER PHARMD (CEO & PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (925) 339-5826

## Contact information

- **Practice address:** 4070 BASELINE RD STE 110, ROSEVILLE, CA 95747-6489
- **Practice address phone:** (925) 339-5826
- **Mailing address:** 4070 BASELINE RD STE 110, ROSEVILLE, CA 95747-6489
- **Mailing address phone:** (925) 339-5826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2023
- **Last updated:** 03/09/2023