NPI | 1932455268 |
---|---|
Doing Business As | FOUR SQUARE, PPS |
Entity Type | Organization |
Authorized Contact | RICHARD WILSON President 858-336-1821 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CO PDO-843) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2014-02-04 |