NPI | 1356575047 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNY HEINE Director Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 200500255) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2012-10-23 |