| NPI | 1912021213 |
|---|---|
| Doing Business As | BUENA VISTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GAINES CEO 800-583-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CA 47358) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-03-22 |