NPI | 1144392226 |
---|---|
Doing Business As | LOS COYOTES DRUG |
Entity Type | Organization |
Authorized Contact | JERROLD LEE ROSENBAUM President 562-420-1480 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY55814) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2018-02-19 |