| NPI | 1750834339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH DIANE ROGERS Pharmacist In Charge 661-432-7922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54445) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |