Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Mar 10, 2020
License(s)
81233 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 464 VEREDA DEL CIERVO | Goleta, CA 93117-5324 | 415-490-7820 |
| LOCATION | 218 E HIGHWAY 246 BLDG 3 | Buellton, CA 93427-9654 | 805-693-1132 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.