| NPI | 1710350384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH CARON SPIEGEL Pharmacist In Charge 661-721-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: CA LCF39290) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |