Organization
INNOVA PHARMACY II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM THIEN LE PHARM.D. (PRESIDENT/CEO)
(916) 220-3344
Entity
Organization
Contact information
Practice address
3701 J ST STE 101, SACRAMENTO, CA 95816-5542
(916) 465-8999
(916) 475-1285
Mailing address
3701 J ST STE 101, SACRAMENTO, CA 95816-5542
(916) 220-3344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2020
Last updated
10/22/2021
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