| NPI | 1942482104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN STEPHENS Pharmacist In Charge 909-708-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46648) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2020-05-01 |