Organization
GREENHAVEN PHARMACY
Active
Other names
The ecbm group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY C PON RPH (MANAGER)
(916) 290-6639
Entity
Organization
Contact information
Practice address
7248 S LAND PARK DR STE 116, SACRAMENTO, CA 95831-3661
(916) 378-5757
(916) 290-6639
Mailing address
7248 S LAND PARK DR STE 116, SACRAMENTO, CA 95831-3661
(916) 378-5757
(916) 290-6639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY51814
CA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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