| NPI | 1568496578 |
|---|---|
| Doing Business As | SOUTH SAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICARDO J LEAL Corp. Sec Treas 210-922-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 10165) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-10-01 |