| NPI | 1851304570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT HASOLKAR Pharmacist In Charge 949-768-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY47488) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-07-17 |