| NPI | 1124025432 |
|---|---|
| Doing Business As | RANCHO PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHERY EGHTESADI Secretary/Pharmacist 310-475-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50485) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY50485) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY 50485) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-11-29 |