Goldleaf Med Pharmacy Ltc LLC
NPI #1942826235 in Manteca, California
Provider Information
- NPI Number
- 1942826235
- Entity Type
- Organization
- Organization Name
- Goldleaf Med Pharmacy Ltc LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 22, 2020
- Last Updated
- Jun 22, 2020
Practice Location
- Address
- 1082 MELLON AVE
- City
- Manteca
- State
- California
- ZIP Code
- 95337-6119
- Phone
- (209) 473-1600
Authorized Official
- Name
- MARY T MORSE
- Title
- OPERATIONS
- Phone
- (209) 914-2269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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