| NPI | 1053412411 |
|---|---|
| Doing Business As | CROWN DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | MADELEINE LORD Owner 310-323-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA phy39951) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-09-21 |