Organization
M AND T ENTERPRISES, INC.
Active
Other names
Table Mountain Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J PALMER RPH (PHARMACIST / OWNER)
(530) 532-9555
Entity
Organization
Contact information
Practice address
2445 OROVILLE DAM BOULEVARD, SUITE 9, OROVILLE, CA 95966
(530) 532-9555
(530) 534-1436
Mailing address
2445 OROVILLE DAM BLVD, SUITE 9, OROVILLE, CA 95966
(530) 532-9555
(530) 534-1436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
36865
CA
3336C0003X
Community/Retail Pharmacy
Primary
36865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2278114
MEDI-CAL
CA
05
—
PHA328600
—
CA
Enumeration date
12/26/2006
Last updated
08/13/2008
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