| NPI | 1912028465 |
|---|---|
| Doing Business As | CROCKER DRUG |
| Entity Type | Organization |
| Authorized Contact | FERN CROCKER Owner/President 619-670-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 20049) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-09-10 |