| Pharmatox, Inc. | |
|
1143 Missouri St Fairfield CA 94533-6007 | |
| (707) 435-8042 | |
| (707) 435-1527 |
| Full Name | Pharmatox, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1143 Missouri St, Fairfield, California |
| Authorized Official Name and Position | Michael Clifton Meredith (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 7074358042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pharmatox, Inc. 1143 Missouri St Fairfield CA 94533-6007 Ph: (707) 435-8042 | Pharmatox, Inc. 1143 Missouri St Fairfield CA 94533-6007 Ph: (707) 435-8042 |
| NPI Number | 1174695241 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174695241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 480016AP (California) | Primary |
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