| NPI | 1174582613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX VARA Director 310-838-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH44876) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY45885) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2009-08-19 |