Organization
OBRYAN COMPANY INC
Active
Other names
ZINFANDEL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AUBREY OBRYAN (PRESIDENT)
(916) 852-4222
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
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600843
OTHER ID NUMBER
—
Enumeration date
06/20/2006
Last updated
03/24/2008
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