| NPI | 1326262551 |
|---|---|
| Doing Business As | EXTENDED HOMECARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES J TIEE Director Of Pharmacy 714-662-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY462120) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |