| NPI | 1760789614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE BLACKBURN President 949-735-5256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 30586) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |