| NPI | 1972345346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSRA MINAI CEO/Sec./Dir. 949-735-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |