| NPI | 1154445179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY TENETTE Pharmacist Owner 909-887-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY37450) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-06-16 |