| NPI | 1508277492 |
|---|---|
| Doing Business As | FCMG CAMILLUS |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 155562) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |