| NPI | 1861653420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAYMAN Pharmacist/Owner 415-931-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA PHY 48322) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |