| NPI | 1093229320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN MOHAMED Pharmacist In Charge/Owner 661-578-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55546) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2019-10-11 |