| NPI | 1861250847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTOSH R KHANDHAR CEO 909-256-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2026-01-06 |