| NPI | 1154306231 |
|---|---|
| Doing Business As | IMPERIAL BEACH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TOD JEFFREY ROBINSON President 858-259-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY46235) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2018-06-19 |