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NPI Code Detail

MEDICARE: MATTHEW BALCITA RPH

MEDICARE:   MATTHEW  BALCITA  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist92048CA

General Provider Information

NPI Number : 1356287056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BALCITA RPH
Provider Business Mailing Address
First Line : 9105 BRUCEVILLE RD STE 1A
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-5970
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9285 ELK GROVE BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-2101
Country : US
Telephone Number : 916-714-5372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2026
Last Update Date : 04/25/2026

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Directions to “ MATTHEW BALCITA RPH” Practice Location

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