NPI | 1053126425 |
---|---|
Doing Business As | STAYWELL PHARMACY |
Entity Type | Organization |
Authorized Contact | ERWIN CUENCA President 213-265-1152 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2025-02-11 |
Last Update Date | 2025-07-09 |