| NPI | 1073192720 |
|---|---|
| Doing Business As | PMC OUTPATIENT PHARMACY - POWAY |
| Entity Type | Organization |
| Authorized Contact | DIANE HANSEN President And CEO 760-740-6385 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |