| 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 |