NPI | 1033493218 |
---|---|
Doing Business As | MOLLY B TROSTLE DO |
Entity Type | Organization |
Authorized Contact | KENNY HEINE Sr Director Ops 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA OS011902) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2012-10-23 |