| NPI | 1649427139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VINCENT FLORES President/CEO 951-698-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA applying for) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA applying for) |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CA applying for) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |