| NPI | 1902977648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MASTROVICH President And COO 949-639-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-09-20 |