| NPI | 1154334498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SIMON Admin 415-469-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA HSP16504) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |