| NPI | 1366657488 |
|---|---|
| Doing Business As | PHYSICIAN PARTNER/PHARMACY PARTNER |
| Entity Type | Organization |
| Authorized Contact | DESTRY SETSER CEO/Owner 877-732-3579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA WLS3004) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA WLS3004) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2009-02-03 |