NPI | 1093958399 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNY HEINE Director Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 200000708) |
Enumeration Date | 2009-04-16 |
Last Update Date | 2009-04-16 |