NPI | 1841331220 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNY HEINE Dir. Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA G38515) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2012-10-17 |