| NPI | 1023011053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNE PAPOYAN Pharmacist In Charge 323-957-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY46506) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy (Licence: CA 46506) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2025-04-22 |