| NPI | 1013901065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERLANDY Y VILLARAMA Supervisor 714-776-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY55627) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY55627) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2017-10-30 |