NPI | 1154701662 |
---|---|
Doing Business As | WESTSIDE MEDICAL PHARMACY |
Entity Type | Organization |
Authorized Contact | ALI GANDJI President 310-441-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51987) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2016-06-03 |