| NPI | 1972712677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SIMPSON President 661-716-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA WLS4775) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |