| NPI | 1154342103 |
|---|---|
| Doing Business As | RED SQUARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LYUDMILA LYUSTIN President 415-665-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY47375) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY47375) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |