| NPI | 1114061132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BOLL Secretary & CFO 858-704-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53360) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-10-01 |