Organization
RIO LINDA LEADER DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM RITCHIE (ACCT REV MGR)
(916) 991-1701
Entity
Organization
Contact information
Practice address
402 M ST, RIO LINDA, CA 95673-2217
(916) 991-1701
(916) 991-2389
Mailing address
402 M ST, RIO LINDA, CA 95673-2217
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY42886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0541828
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6019013
—
CA
05
—
PHA428860
—
CA
Enumeration date
08/10/2006
Last updated
08/31/2007
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