Organization
BIOACTIVE THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MATTHEW COTTMAN PHARM.D. (PRESIDENT/CEO)
(916) 288-0578
Entity
Organization
Contact information
Practice address
3499 BROOKSIDE RD, SUITE F, STOCKTON, CA 95219-1784
(916) 288-0578
Mailing address
3499 BROOKSIDE RD, SUITE F, STOCKTON, CA 95219-1784
(916) 288-0578
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/07/2006
Last updated
10/15/2012
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