| NPI | 1104004308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE JEAN ZALBA Director, Pharmaceutical Services 310-825-7101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHE45579) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2023-03-07 |