| NPI | 1851302400 |
|---|---|
| Doing Business As | PACIFIC WEST HEALTHCARE SUPPLY |
| Entity Type | Organization |
| Authorized Contact | AUBREY OBRYAN President 916-852-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY48206) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-08-05 |