| NPI | 1912062332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNADY SOSKIN Owner/Pharmacist 949-830-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY47205) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-03-07 |