| NPI | 1104076884 |
|---|---|
| Doing Business As | BRAVO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SANG KIM CEO 310-618-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49276) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2011-11-15 |