| NPI | 1750736583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SASAKI Pharmacist 909-484-8251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 41514) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |