NPI | 1164560033 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM A STUART Prsident 562-595-7548 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PH20643) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY20643) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2009-01-08 |