| NPI | 1619251899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT PETERSON CFO 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A063977) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2017-01-13 |