| NPI | 1679261473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E LORENZ Chief Executive Officer 408-885-4010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |