| NPI | 1720313257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM SHARAFSALEH President 760-212-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA 49911) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2013-11-06 |