Individual
MR. CARLO ENRICO CRISOLOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1250 E GIBSON RD, WOODLAND, CA 95776-6315
(530) 665-4309
(530) 665-4310
Mailing address
1250 E GIBSON RD, WOODLAND, CA 95776-6315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57891
CA
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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