Organization
ZINFANDEL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM N. PHAM PHARM D (PHARMACIST)
(916) 631-4440
Entity
Organization
Contact information
Practice address
1995 ZINFANDEL DR, STE 101, RANCHO CORDOVA, CA 95670-2862
(916) 631-4440
(916) 635-1024
Mailing address
1995 ZINFANDEL DR, STE 101, RANCHO CORDOVA, CA 95670-2862
(916) 631-4440
(916) 635-1024
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PHY46527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA308967
—
CA
Enumeration date
06/22/2005
Last updated
08/22/2020
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