NPI | 1003216292 |
---|---|
Doing Business As | CVMG -TAYLORSVILLE |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 24183) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2014-08-26 |