| NPI | 1962890228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGATI G PATEL Pharmacist In Charge 760-234-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 52449) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-02-27 |