Individual
DR. ANHAO SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
730 17TH ST, MODESTO, CA 95354-1209
(209) 248-7519
Mailing address
9940 DIAMONTE WAY, SACRAMENTO, CA 95829-8147
(760) 519-9671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH84301
CA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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