| NPI | 1124041272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA CHURCHILL Reimbursement Director 714-509-6266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CA EXEMPT) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-11-04 |