NPI | 1043570385 |
---|---|
Doing Business As | ARCADE LANE COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | GAYANE BESNELIAN President/PIC 626-577-7979 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 50930) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-08-21 |