| NPI | 1548837529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JEANNE VAUGHAN Chief Operations Officer 951-375-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |