NPI | 1861728792 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 9300226) |
Enumeration Date | 2009-10-28 |
Last Update Date | 2013-12-30 |