Organization
GOLDLEAF MED PHARMACY LTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T MORSE (OPERATIONS)
(209) 914-2269
Entity
Organization
Contact information
Practice address
1082 MELLON AVE, MANTECA, CA 95337-6119
(209) 473-1600
(209) 800-1569
Mailing address
1082 MELLON AVE, MANTECA, CA 95337-6119
(209) 473-1600
(209) 800-1569
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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