NPI | 1174997605 |
---|---|
Doing Business As | OLIVE BRANCH PHARMACY |
Entity Type | Organization |
Authorized Contact | REDDA ALHOUSSAYNI Owner 323-432-2131 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53627) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-11-20 |
Last Update Date | 2017-02-22 |