Basic Information
| Provider Information | |||||||||
| NPI: | 1841560984 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SATTON | ||||||||
| FirstName: | CARL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24900 END OF HIGHWAY 202 | ||||||||
| Address2: | |||||||||
| City: | TEHACHAPI | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93561 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 24900 VALLEY BOULEVARD | ||||||||
| Address2: | |||||||||
| City: | TEHACHAPI | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6618224402 | ||||||||
| FaxNumber: | 6618233354 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2012 | ||||||||
| LastUpdateDate: | 01/06/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 35914 | CA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.