| NPI | 1841377934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS K WILCOX Director 559-485-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY18288) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-06-08 |