| NPI | 1326236894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTRY SETSER CEO 805-375-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: GA BG7320928) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-09-17 |