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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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