NPI | 1174808398 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNY HEINE Sr Director Ops 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA OS010436L) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2012-10-23 |