| NPI | 1861475519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD CHARLES DAVALOS Owner Pharmacist 415-731-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY22384) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2013-05-17 |