NPI | 1427190537 |
---|---|
Doing Business As | FHSM - MAPLEWOOD |
Entity Type | Organization |
Authorized Contact | KENNY HEINE Dir. Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MN 28848) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2009-11-04 |