| NPI | 1265888630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: CA 41612) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: HI 993) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-01-17 |