| NPI | 1083607212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETROS TAGLYAN President/Pharmacist 323-661-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY32762) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2022-03-03 |