| NPI | 1164553053 |
|---|---|
| Doing Business As | SYCUAN MEDICAL DENTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAL FALCO Controller And CEO 619-445-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHE39873) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2017-04-06 |