| NPI | 1336527597 |
|---|---|
| Doing Business As | MOLINA MARYSVILLE |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA 50051) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-07-07 |