| NPI | 1396383246 |
|---|---|
| Doing Business As | FOOD PHARMACY RD |
| Entity Type | Organization |
| Authorized Contact | LUKE LUCAS Owner 909-273-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-02-05 |