| NPI | 1568718302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO S. VAI Pharmacy Technician 951-544-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |