| NPI | 1679308977 |
|---|---|
| Doing Business As | PERIGON PHARMACY 360 WEST |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTYPAS President 805-874-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |