| NPI | 1174908883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SCOTT CARRUTHERS Chief Of Pharmacy 323-860-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH03380) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2023-07-18 |