| NPI | 1942584727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAAFAT GEORGE GERGES PIC/Owner 909-263-7912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 50700) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |