Organization
INNOVA PHARMACY III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM THIEN LE PHARM.D. (PRESIDENT/CEO)
(916) 220-3344
Entity
Organization
Contact information
Practice address
2400 GLENDALE LN STE A, SACRAMENTO, CA 95825-2431
(916) 487-9977
(916) 487-9978
Mailing address
1913 EAGLE GLEN DR, ROSEVILLE, CA 95661-4025
(916) 220-3344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740820133
—
CA
Enumeration date
01/14/2020
Last updated
07/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us