| NPI | 1063501054 |
|---|---|
| Doing Business As | MESA CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BABAK KOHANTEB President/CEO/CFO/Director 818-785-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY50719) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY50719) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-02-01 |