| NPI | 1508300765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DAHL Manager 661-215-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55286) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |