| NPI | 1881773224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOHNSON Gm 909-868-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY50015) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2010-08-18 |