| NPI | 1851901870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS Secretary 951-987-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |