| NPI | 1063652584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE KATSUOCUZAKAO Vice President 310-738-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y005095) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-03-13 |