| NPI | 1902653223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUU DUYEN NGUYEN Chief Pharmacist 760-530-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |