| NPI | 1841395761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE FAVILA Partner 858-467-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46560) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY46560) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-03-30 |