| NPI | 1336125236 |
|---|---|
| Doing Business As | DWAYNES FRIENDLY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DWAYNE NORTON WILSON Owner/Manager 760-872-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHA35213) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-03-07 |