| NPI | 1841233624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ULMER Owner 562-435-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A24825) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-06-03 |