NPI | 1316207665 |
---|---|
Doing Business As | DESERTRX PHARMACY |
Entity Type | Organization |
Authorized Contact | VIRGINIA CASELLA Owner 561-223-8611 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51719) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-05-21 |
Last Update Date | 2019-01-04 |