| NPI | 1689736969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO R QUINIO Pharmacy Manager 626-576-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 41642) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 32301) |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-05-18 |