| NPI | 1144845009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAPAN PATEL Pharmacist In Charge/CFO 951-352-3030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |