| NPI | 1629487616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY NWAKAEGO ANYANWU Pharmacy Manager 909-880-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 66773) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |