| NPI | 1821146572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KVANCZ VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY41612) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-05-05 |