NPI | 1790183358 |
---|---|
Doing Business As | CORNERSTONE FAMILY MEDICINE AT ARCHDALE |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1508 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 2014-01181) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2014-12-15 |