| NPI | 1023219664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRADJ YADEGAR Pharmacist 310-475-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY36046) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |