| NPI | 1730526781 |
|---|---|
| Doing Business As | FALLBROOK LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAN BALTHASAR CEO 949-215-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 51247) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-06-14 |