Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Other names
Sutter Midtown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R. RED R.PH. (PHARMACIST IN CHARGE)
(916) 454-6744
Entity
Organization
Contact information
Practice address
2800 L ST, SUITE 450, SACRAMENTO, CA 95816-5616
(916) 454-6744
(916) 454-6745
Mailing address
2800 L ST, SUITE 450, SACRAMENTO, CA 95816-5616
(916) 454-6744
(916) 454-6745
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY42089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0546993
NCPDP NUMBER
—
05
—
PHA420890
—
CA
01
—
PHY42089
PHARMACY LICENSE NUMBER
CA
Enumeration date
12/04/2006
Last updated
03/07/2023
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