| NPI | 1104800457 |
|---|---|
| Doing Business As | PASEO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDRE SAROUGHIAN President/Owner 626-564-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 51907) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY 51907) |
| 333600000X Pharmacy (Licence: CA PHY 51907) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2015-02-05 |