| NPI | 1093157786 |
|---|---|
| Doing Business As | 1010 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS THOMAS President 213-784-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 51478) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2015-09-08 |