| NPI | 1104025626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEJMAN JAVAHERI CEO 818-609-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-02-04 |