Mother Lode Drug Company
NPI #1083759625 in Mariposa, California
Provider Information
- NPI Number
- 1083759625
- Entity Type
- Organization
- Organization Name
- Mother Lode Drug Company
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5034 COAKLEY CIRCLE DR.
- City
- Mariposa
- State
- California
- ZIP Code
- 95338-2099
- Phone
- (209) 742-7600
Authorized Official
- Name
- MR. RICHARD A. RADANOVICH, RPH
- Title
- PHARMACIST
- Phone
- (209) 742-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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