NPI | 1164285110 |
---|---|
Doing Business As | SELECT LTC PHARMACY |
Entity Type | Organization |
Authorized Contact | ELLINA CHULPAEFF Secretary/CFO 951-530-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-02 |