NPI | 1548778723 |
---|---|
Other Name | GOOD SAMARITAN PHARMACY |
Entity Type | Organization |
Authorized Contact | MYLENE BUNAGAN President 909-774-1115 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 56061) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-01-22 |
Last Update Date | 2018-05-03 |