NPI | 1215963913 |
---|---|
Doing Business As | DOC ARVIDSONS PHARMACY |
Entity Type | Organization |
Authorized Contact | DUAINE R ARVIDSON President 951-207-3315 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY47467) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
333600000X Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2011-06-10 |