| NPI | 1700981065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WILLIAMSON VP 619-255-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY45070) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |