| NPI | 1205977303 |
|---|---|
| Doing Business As | PINE RICHLAND MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA OS008315L) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-10-10 |