| NPI | 1124386123 |
|---|---|
| Doing Business As | SHORELINE PHARMACEUTICALS, INC. |
| Entity Type | Organization |
| Authorized Contact | MATTHEW WALK President 310-464-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY51832) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2014-09-30 |