Health Services Agency Outpatient Pharmacy

NPI #1821205162 in Modesto, California

Provider Information

NPI Number: 1821205162
Entity Type: Organization
Organization Name: Health Services Agency Outpatient Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: May 17, 2007
Last Updated: Sep 4, 2007

Practice Location

Address: 830 SCENIC DR
City: Modesto
State: California
ZIP Code: 95350-6131
Phone: (209) 558-5697

Authorized Official

Name: MARY ANN LEE
Title: HSA DIRECTOR
Phone: (209) 558-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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