NPI | 1225164247 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNY HEINE Director Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD024238e) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2024-11-20 |