| NPI | 1851722920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PERSON CEO/Sec./Dir. 661-444-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY22035) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2022-07-05 |