| NPI | 1194360107 |
|---|---|
| Doing Business As | PRIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISA BEAUDRY Business Manager 951-302-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-06-09 |