Imgrx Sonoma INC
NPI #1952759664 in Sonoma, California
Provider Information
- NPI Number
- 1952759664
- Entity Type
- Organization
- Organization Name
- Imgrx Sonoma INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IMGRX SONOMA INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 3, 2016
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 19270 SONOMA HWY, SUITE A
- City
- Sonoma
- State
- California
- ZIP Code
- 95476
- Phone
- (512) 596-2930
Authorized Official
- Name
- MICHAEL BROWN
- Title
- VICE PRESIDENT, MANAGED SERVICES
- Phone
- (281) 749-4764
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