| NPI | 1730461633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRISUDA C REIMER Registered Pharmacist 858-569-1151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA 60403) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |