| NPI | 1558512848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VANDYKE CEO 951-656-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2020-03-10 |