| NPI | 1184124984 |
|---|---|
| Doing Business As | CREATIVE RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHILIP A ETTEDGUI CEO 818-259-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 56040) |
| Additional Taxonomies | 333600000X Pharmacy |
| 333600000X Pharmacy (Licence: CA 56040) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-03-19 |