| NPI | 1992889323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LEROY DIMRY Pharmacist/Vice President 619-263-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA phy409470) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |