| NPI | 1801548524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DELANO Principal, Pharmacy Compliance 858-386-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-12-08 |