| NPI | 1972682649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE KOIXVER VP Phrm 949-673-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY47100) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-08-30 |