Organization
APOTHECARY BOTANICA
Active
Organization
APOTHECARY BOTANICA
Active
Other names
El Macero Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JAY BRAZILL PHARM.D. (PRESIDENT/CEO)
(530) 231-6520
Entity
Organization
Contact information
Practice address
417 MACE BLVD, SUITE D, DAVIS, CA 95618-6053
(530) 231-6520
(530) 231-6429
Mailing address
417 MACE BLVD, SUITE D, DAVIS, CA 95618-6053
(530) 231-6520
(530) 231-6429
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
06/17/2008
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