| NPI | 1952615940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE Sr Director Ops 858-628-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 35072823) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |