| NPI | 1821042383 |
|---|---|
| Doing Business As | MAIN STREET PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | AMELIA GRACE PADILLA Owner,Rph,AO 951-279-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY46586) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-07-01 |