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 |