| NPI | 1053454561 |
|---|---|
| Doing Business As | SANTA MONICA MEDICAL PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOUIZ KOHANGHADOSH President/PIC 310-393-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 51669) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY 51669) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY 51669) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-11-26 |