| NPI | 1760206197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE COX Administrator/Access Manager 949-664-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |