| NPI | 1942220439 |
|---|---|
| Doing Business As | PAIN MANAGEMENT PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | KENNETH GUESS CEO VP 805-928-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY46656) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-01-31 |