| NPI | 1467494054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 909-235-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054.019886) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-04-16 |