| NPI | 1811201189 |
|---|---|
| Doing Business As | OUR FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE Sr. Director Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25ma05883600) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2012-10-23 |