| NPI | 1609918820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CELEDON Owner 650-321-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY44383) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-07-16 |