| NPI | 1922470053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L NAMBA Staff Pharmacist 858-534-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA RPH27876) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |