| NPI | 1588936785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN OBERG Assistant Secretary 949-988-5893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH26240) |
| Additional Taxonomies | 251E00000X Home Health |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH 27821) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2022-12-29 |