| NPI | 1861504797 |
|---|---|
| Doing Business As | 986 PHARMACY #8018 |
| Entity Type | Organization |
| Authorized Contact | KEVIN MANCILLA VP 760-843-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-11-02 |