| NPI | 1154985695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS Secretary 951-987-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2021-11-01 |