DEMARTINI SPRING HILL PHARMACY INC.
102 Catherine Ln
Grass Valley, CA 95945
530-273-2268
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | CA | PHY21515 |
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY21515 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHARMACY LIC # | PHY 21515 | CA | OTHER |
NABP | 0533441 | CA | OTHER |
DEA NUMBER | AS9429590 | CA | OTHER |
PHA215150 | CA | MEDICAID |