NPI | 1003681016 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON C MADUKA Pharmacy Owner/Pharmacy Manager 310-383-0142 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-11-20 |
Last Update Date | 2023-11-20 |