Healthcare Provider Details

I. General information

NPI: 1033670674
Provider Name (Legal Business Name): MISS MINA K BRITTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MINA BRITTON PHARMACY TECH

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 03/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 FOLSOM BLVD
SACRAMENTO CA
95826-2608
US

IV. Provider business mailing address

7700 FOLSOM BLVD
SACRAMENTO CA
95826-2608
US

V. Phone/Fax

Practice location:
  • Phone: 916-386-3054
  • Fax: 916-386-3069
Mailing address:
  • Phone: 916-386-3054
  • Fax: 916-386-3069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number23501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: