| NPI | 1164230512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOHN GEVORKIAN PIC 818-853-2800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |