| NPI | 1962428821 |
|---|---|
| Doing Business As | ST JOHNS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | REBECCA KIM President 951-217-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY47457) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |