Organization
SACTO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUE KIM VO R PH (PHARMACIST)
(916) 454-0168
Entity
Organization
Contact information
Practice address
5033 STOCKTON BOULEVARD, SACRAMENTO, CA 95820-5407
(916) 454-0168
(916) 454-5949
Mailing address
5033 STOCKTON BOULEVARD, SACRAMENTO, CA 95820-5407
(916) 454-0168
(916) 454-5949
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY36774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA367740
—
CA
Enumeration date
05/19/2008
Last updated
05/19/2008
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