| NPI | 1003851320 |
|---|---|
| Doing Business As | GARDENA MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SOON R CHUNG Owner 310-515-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY48764) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-03-07 |