| NPI | 1629296041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MUENZ Revenue Manager 760-726-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHY43164) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-05-27 |