| NPI | 1134164353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MUTTER Chief Ops Ofc 949-222-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0002215CS) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |