NPI | 1235292145 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG LEGORE Director Of Pharmacy Operations 805-217-5986 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CO pdo670) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2017-07-21 |