| NPI | 1083703979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHE GAREN SIMONIAN Pharmacist 818-543-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY 55466) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY 55466) |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: CA PHY 55466) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-12-31 |