| NPI | 1154604841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONJA SO-ROSILLO Pharmacist 650-637-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA RPH52616) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |