| NPI | 1881952851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE ADAMS Senior Vice President 909-799-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: AZ Y002758) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |