Healthcare Provider Details

I. General information

NPI: 1235256470
Provider Name (Legal Business Name): MFRANCISCO CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 MICRON AVE STE D
SACRAMENTO CA
95827
US

IV. Provider business mailing address

9550 MICRON AVE STE D
SACRAMENTO CA
95827
US

V. Phone/Fax

Practice location:
  • Phone: 916-362-5400
  • Fax: 916-362-5454
Mailing address:
  • Phone: 916-362-5400
  • Fax: 916-362-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHY-46209
License Number StateCA

VIII. Authorized Official

Name: MELANIE FRANCISCO
Title or Position: PHARMACIST-IN-CHARGE/OWNER
Credential:
Phone: 916-362-5400