| NPI | 1093875577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY IM Owner 213-387-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY43829) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |