| NPI | 1750765806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAB M TAKLA Pharmacist Intern 760-567-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL PSI31013) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |