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Organization
GOMES ENTERPRISES
Active
Organization
GOMES ENTERPRISES
Active
Other names
TheMedicineTray
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANTELL LEE PETRALIA OWNER (OWNER CEO)
(888) 852-9373
Entity
Organization
Contact information
Practice address
3101 SUNSET BLVD STE 2A, ROCKLIN, CA 95677-3097
(916) 624-0570
(916) 624-0591
Mailing address
3101 SUNSET BLVD STE 2A, ROCKLIN, CA 95677-3097
(916) 624-0570
(916) 624-0591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY44817
CA
333600000X
Pharmacy
PHY44817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519073
NABP
—
05
—
PHA448170
—
CA
Enumeration date
08/16/2006
Last updated
07/29/2008
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