| 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 |