| NPI | 1326585449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BETANCOURT VP, Finance And Administration 415-543-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A71078) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-07-24 |