Individual
ANTHONY ON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5830 JAMESON CT, CARMICHAEL, CA 95608-0896
(916) 481-6900
Mailing address
281 BRANDY OAK CT, FOLSOM, CA 95630-7942
(916) 710-2049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86260
CA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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