NPI | 1760993596 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCISCO L CASTILLON Chief Executive Officer 661-630-7050 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
291U00000X Clinical Medical Laboratory | |
3336C0002X Pharmacy Clinic Pharmacy | |
Enumeration Date | 2017-10-19 |
Last Update Date | 2025-06-26 |