| NPI | 1730257593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME ALAN GREENE Pharmacist Owner 858-277-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY99276) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |