| NPI | 1295095909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA A LUNING Pharamcist In Charge 909-730-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 60361) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |