NPI | 1184736001 |
---|---|
Doing Business As | COMMUNITY PROFESSIONAL PHARMACY |
Entity Type | Organization |
Authorized Contact | BRIAN KEYES Rph 951-683-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY22224) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2018-07-19 |