| NPI | 1134280456 |
|---|---|
| Doing Business As | CIENEGA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AFREH KHAZAEE President 310-360-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY46672) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-04-01 |