| NPI | 1063423697 |
|---|---|
| Doing Business As | LAS PALMAS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADEYEMI OMILANA Pharmacist In Charge/Owner 760-416-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY45912) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-07-19 |