| NPI | 1053751024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID IBRAHIM CEO 760-835-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 51507) |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2013-09-12 |