Lifeguard Integrative Pharmacies, Inc.

NPI 1235291618 - Pharmacy - 3336C0003X

NPI Details
NPI 1235291618
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK THOMAS MARK
Position PRESIDENT AND CEO
Phone (707) 837-7948
Fax (707) 837-7949
Practice Location
9070 WINDSOR RD
WINDSOR CA, 95492-9701, US
Phone (707) 837-7948
Fax (707) 837-7949
Business Location
9070 WINDSOR RD
WINDSOR CA, 95492-9701, US
Phone (707) 837-7948
Fax (707) 837-7949
Toxanomy
Taxonomy Code 3336C0003X
License State California
License Number PHY46739
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According to our database, Lifeguard Integrative Pharmacies, Inc. NPI is 1235291618, taxonomy code is 3336C0003X and license number is PHY46739, license state is located at California. Lifeguard Integrative Pharmacies, Inc. physically located at 9070 Windsor Rd, Windsor CA, 95492-9701. NPI Number 1033115704 has the healthcare provider type.

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1235291618 NPI number is provided on an as is basis without warranty of any kind. 1235291618 is maintained by the National Plan & Provider Enumeration System. The contents of Lifeguard Integrative Pharmacies, Inc. are for informational purposes only.