Innova Pharmacy IV
NPI #1689271066 in North Highlands, California
Provider Information
- NPI Number
- 1689271066
- Entity Type
- Organization
- Organization Name
- Innova Pharmacy IV
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Oct 8, 2020
Practice Location
- Address
- 4815 WATT AVE STE B101
- City
- North Highlands
- State
- California
- ZIP Code
- 95660-5108
- Phone
- (916) 220-3344
Authorized Official
- Name
- MR. TIM THIEN LE, PHARM.D.
- Title
- CEO
- Phone
- (916) 220-3344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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