| NPI | 1639180128 |
|---|---|
| Doing Business As | BASE LINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALEX TSENG President 909-463-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY45877) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-07-02 |