| NPI | 1558081042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO L. CASTILLON Chief Executive Officer 661-630-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-03-28 |