| NPI | 1962402164 |
|---|---|
| Doing Business As | MED RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BERNARD JOHN GRAMLICH CEO 760-741-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY50645) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2011-11-09 |