| NPI | 1104119692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRUTIKA V. GUJARATHI Registered Pharmacist 818-704-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 59544) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |