| NPI | 1295890473 |
|---|---|
| Doing Business As | BALBOA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT YASMEH Owner 858-278-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53437) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2016-06-23 |