| NPI | 1154332658 |
|---|---|
| Doing Business As | PACIFICA FORTUNA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALLEN HO President 818-892-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46593) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-04-30 |