| NPI | 1770010068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SESYLIA ASTOR Pharmacist 831-345-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY 55294) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2021-03-05 |