Organization
SACRX CORPORATION
Active
Other names
TRI STAR PHARMACY 2
Organization subpart
No
Provider details
NPI number
Authorized official
TOAN BUI (OWNER/AO)
(916) 730-7116
Entity
Organization
Contact information
Practice address
6540 STOCKTON BLVD, #3B, SACRAMENTO, CA 95823-1635
(916) 701-5688
(916) 701-5687
Mailing address
6540 STOCKTON BLVD, #3B, SACRAMENTO, CA 95823-1635
(916) 701-5688
(916) 701-5687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY56125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177577
PK
—
Enumeration date
05/12/2018
Last updated
07/27/2018
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