| NPI | 1043685159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SHENOUDA Owner 661-836-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 53659) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-11-17 |