NPI | 1144717778 |
---|---|
Doing Business As | SHARE OUR SELVES PHARMACY |
Entity Type | Organization |
Authorized Contact | CHRISTY WARD CEO 949-536-3927 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-04-19 |
Last Update Date | 2024-10-15 |