NPI | 1962100057 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL DE ROBLES Chief Executive Officer/Pharmacist 760-277-1974 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-03-13 |