| NPI | 1447850359 |
|---|---|
| Doing Business As | SOUTH SAN MEDICAL BUILDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICARDO J LEAL Corporate President 210-922-1816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-31 |