| NPI | 1669420493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ANN FROST VP Of Operations 714-630-1716 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 02137) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-01-25 |