| NPI | 1619053733 |
|---|---|
| Doing Business As | EAST VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALFONSO F BANUELOS Chief Medical Officer 408-885-4001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHE16951) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-09-08 |