-- SUTTINEE SAGUANDEEKUL rph

910 DIABLO AVE, NOVATO, CA, 94947

atlas:atm_npi_1003068305

Block 2001Block Group 2Census Tract 1041.02Marin County California United States

What is stored

status: A
address: 910 DIABLO AVE, NOVATO, CA, 94947
npi: 1003068305
license: RPH 38519
taxonomy: Pharmacist
other names: []
last updated: 2008-10-17
license state: CA
taxonomy code: 183500000X
all taxonomies: ["Pharmacist"]
sole proprietor: YES
enumeration date: 2008-10-17
enumeration type: NPI-1
practice locations: 0

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Read fact fields

{
  "npi": "1003068305",
  "status": "A",
  "address": "910 DIABLO AVE, NOVATO, CA, 94947",
  "license": "RPH 38519",
  "taxonomy": "Pharmacist",
  "other_names": [],
  "last_updated": "2008-10-17",
  "license_state": "CA",
  "taxonomy_code": "183500000X",
  "all_taxonomies": [
    "Pharmacist"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2008-10-17",
  "enumeration_type": "NPI-1",
  "practice_locations": 0
}