Organization · Type 2 NPI
Physician Support Service
Non-Pharmacy Dispensing Site · Alta Loma, CA
NPI number
1588915532
Active
Practice location
8780 19th St # 201
Alta Loma, CA 91701-4608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1588915532
Physician Support Service's National Provider Identifier is 1588915532, issued on Sep 30, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Alta Loma, CA. The record was last updated on Sep 30, 2012.