NPI | 1962720185 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNY HEINE Sr Director Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 38885) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2012-10-23 |