| NPI | 1992898910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP LEBLANC Pharmacist In Charge 949-494-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY34521) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-07-03 |