Organization
GOOD HEART PHARMACISTS
Active
Other names
Heart Center Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG VU (PHARMACIST)
(209) 747-0614
Entity
Organization
Contact information
Practice address
1740 FRUITRIDGE RD # 104, SACRAMENTO, CA 95822-3067
(916) 238-3118
(916) 238-3119
Mailing address
1740 FRUITRIDGE RD # 104, SACRAMENTO, CA 95822-3067
(916) 238-3118
(916) 238-3119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54250
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159656
PK
—
Enumeration date
04/20/2016
Last updated
05/10/2016
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