NPI | 1518045715 |
---|---|
Doing Business As | LENZEN PHARMACY |
Entity Type | Organization |
Authorized Contact | ALFONSO F BANUELOS Chief Medical Officer 408-885-4001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: CA 070000085) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA 070000085) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2008-09-08 |