| NPI | 1144365776 |
|---|---|
| Doing Business As | KENNETH ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OSCAR PALLARES Secretary Tresurer 818-242-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY94460) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-09-12 |