| NPI | 1336765569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMY MIKHAIL R Ph/ Pharmacist In Charge 949-662-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2021-03-11 |