| NPI | 1871825976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JENEVIVE MEGWA Owner/ Pharmacy Manager 661-406-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 26789) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 26789) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |