NPI | 1558781591 |
---|---|
Doing Business As | KOKUA HEALTH AND WELLNESS PHARMACY |
Entity Type | Organization |
Authorized Contact | SAMUEL PATRICK CLEMONS Owner 805-729-0147 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2014-04-17 |
Last Update Date | 2014-04-17 |