| NPI | 1588362545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWOOD RASSAM Pharmacist In Charge 619-569-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |