| NPI | 1093534463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM VU Executive Director 619-972-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |