| NPI | 1871767749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SMITH CFO 805-529-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY48954) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-08-11 |