| NPI | 1184022188 |
|---|---|
| Doing Business As | MINTWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NANCY ELIAS Vice President & PIC 626-314-2945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2019-01-18 |