NPI | 1578993242 |
---|---|
Entity Type | Organization |
Authorized Contact | LANA LOUIE A. WANIA-GALICIA President & Chief Medical Officer 805-222-4549 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A80078) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2013-11-18 |