NPI | 1487963534 |
---|---|
Doing Business As | MCCLELLAND FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA OS006889L) |
Enumeration Date | 2010-10-06 |
Last Update Date | 2013-04-30 |