| NPI | 1114151420 |
|---|---|
| Doing Business As | BELLA VISTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN Q. THAI Pharmacist In Charge 323-264-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 49908) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2010-03-29 |