| NPI | 1467903682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWIN SEGAL Staff Pharmacist 858-822-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA RPH 45278) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |