| NPI | 1851783591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN SOLLARS Pharmacist 760-638-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI RPH05307) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA PH235735) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |