NPI | 1336146935 |
---|---|
Doing Business As | MOULTON PLAZA PHARMACY |
Entity Type | Organization |
Authorized Contact | GARY A DREYFUS President 949-768-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: CA 819437) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2020-08-22 |