| NPI | 1275835332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISOO SAMANDARI CEO 760-201-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 50423) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2023-06-02 |