NPI | 1053320226 |
---|---|
Doing Business As | OLIVE AVENUE MEDICAL PHARMACY |
Entity Type | Organization |
Authorized Contact | STEVE GRAFOS Owner And PIC 818-846-3144 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46307) |
Enumeration Date | 2006-08-06 |
Last Update Date | 2010-07-13 |