NPI | 1235643628 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILAH NGO Credentialing Coordinator 714-898-8888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54496) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2017-11-22 |