| NPI | 1609887199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX ATIYA Owner 619-284-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY45196) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-08-31 |