| NPI | 1871002485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD RIVERA Chief Executive Officer 949-674-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2023-12-27 |