| NPI | 1306854385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE AWAD Owner 619-997-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 46330) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-09-22 |