| NPI | 1073861449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: CA HSP50865) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2023-05-31 |