| NPI | 1306998653 |
|---|---|
| Doing Business As | YOUR DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALTMILLER PIC 661-325-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY30792) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-07-02 |