Organization
PRIMARY CARE PHCY
Active
Other names
SACRAMENTO COUNTY HEALTH DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAYNE (PHCY DIR)
(916) 874-9299
Entity
Organization
Contact information
Practice address
4600 BROADWAY, STE 1500, SACRAMENTO, CA 95820-1527
(916) 874-9220
(916) 874-9409
Mailing address
4600 BROADWAY, STE 1500, SACRAMENTO, CA 95820-1527
(916) 874-9220
(916) 874-9409
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PHE46273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2062396
PK
—
05
—
PHA348160
—
CA
Enumeration date
01/30/2007
Last updated
09/13/2016
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