| NPI | 1003250747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WOLFE LEITER Owner, Pharmacist In Charge 408-292-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |