| NPI | 1134595861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD MILAD TADROS CEO 626-234-3186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY55721) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-03-19 |