| NPI | 1902944861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN POTASH Physician 805-358-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL AP0172887) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |