| NPI | 1992811764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJNIS JASANI Secretary 909-948-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 51109) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-12-11 |