| NPI | 1467546861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SCORSATTO Dir Of Phcy Ops 909-984-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY40733) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |