| NPI | 1245264175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN PATEL CFO 619-461-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 52528) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-06-15 |