NPI | 1982774063 |
---|---|
Doing Business As | HORTON AND CONVERSE PHARMACY |
Entity Type | Organization |
Authorized Contact | KEITH LUMPKIN President 949-640-1231 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY36715) |
3336C0003X Pharmacy Community/Retail Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |