| NPI | 1548466410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYN MANIAOL PIC 909-484-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 48361) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |