| NPI | 1710426739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA ELLIS Pharmacy Supervisor 909-367-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 36910) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |