| NPI | 1952608812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MCFADDEN President 949-496-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: NV PH02685) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2012-09-05 |