| NPI | 1104037548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN OBREGON President, Owner 323-707-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV ph02239) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 15925) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-02-25 |