| NPI | 1447315213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L BLOMQUIST Owner 805-643-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: CA AD20581) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-03-07 |