Organization
COUNTY OF PLACER
Active
Other names
Placer Medical Clinic-Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE ARNEY (CLIENT SERVICES PROGRAM MANAGE)
(530) 886-2910
Entity
Organization
Contact information
Practice address
11583 C AVE, AUBURN, CA 95603-2703
(530) 886-3422
Mailing address
11583 C AVE, AUBURN, CA 95603-2703
(530) 886-3422
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHE30705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5644427
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/24/2012
Last updated
07/24/2012
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