| NPI | 1649302803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK ARTHUR RUSTIGAN Owner 559-237-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA phy39052) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |