| NPI | 1184243602 |
|---|---|
| Doing Business As | SOUTH PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAHUL KUMAR CEO/Sec/CFO/President/Dir 213-745-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2022-06-07 |