| NPI | 1609437409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL GARNER SEGAL Owner/PIC 619-915-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |