Organization
RONAM MANAGEMENT, INC
Active
Other names
Manor Drug Store #4
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN NOVOTNY (OWNER)
(916) 922-9392
Entity
Organization
Contact information
Practice address
2361 NORTHGATE BLVD, SACRAMENTO, CA 95833-2504
(916) 922-9392
(916) 922-2444
Mailing address
2361 NORTHGATE BLVD, SACRAMENTO, CA 95833-2504
(916) 922-9392
(916) 922-2444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHA420630
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHA420630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA420630
—
CA
Enumeration date
07/01/2006
Last updated
02/04/2008
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