| NPI | 1205401338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JEANNE VAUGHAN Chief Operations Officer 951-375-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-10-25 |