| NPI | 1255482709 |
|---|---|
| Doing Business As | BALBOA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRIAN FORD CEO 949-673-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-03-31 |