| NPI | 1841201423 |
|---|---|
| Doing Business As | FOOTHILL MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IRA GOLD Owner 408-739-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY38948) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-10-04 |