| NPI | 1013688449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE AZAD Pharmacist In Charge 310-702-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |