NPI | 1083608103 |
---|---|
Doing Business As | PARKSIDE PHARMACY |
Entity Type | Organization |
Authorized Contact | NASTARAN DANYALYAN President/CEO/CFO/Secretary/Directo 310-453-7843 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY41698) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-09-02 |
Last Update Date | 2024-01-22 |