| NPI | 1871002485 |
|---|---|
| Doing Business As | PACIFIC LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS HOM Managing Member 760-217-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-11-20 |