| NPI | 1225032139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM AUSTIN HEERES Pharmacist In Charge 951-688-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 23090) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |