| NPI | 1669513529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SCORSATTO Director Of Pham Opr 909-984-7132 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY48866) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-06-11 |