| NPI | 1821231291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA KAY GREGORY Owner/President 714-835-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: G74192) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-06-12 |