| 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 |