| NPI | 1285804336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MN 53129) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2015-07-14 |