| NPI | 1093129116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW R. JARMINSKI President 909-941-3986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A51383) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |