| NPI | 1356430045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TEKELE President 760-242-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46638) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-04-15 |