| NPI | 1033873823 |
|---|---|
| Doing Business As | MEDISHACK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL M SHAKER President/CEO 323-206-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2022-01-11 |