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Organization

MY MEDICATION JOURNAL

Active
Other names
My Medication Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARA WOLF PHARM.D. (PRESIDENT)
(530) 801-1702
Entity
Organization

Contact information

Practice address
1272 EARLHAM LN, LINCOLN, CA 95648-3268
(530) 801-1702
Mailing address
PO BOX 2323, GRANITE BAY, CA 95746-2323
(530) 801-1702

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
CA

Other

Enumeration date
11/08/2016
Last updated
11/08/2016
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