| NPI | 1194800482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SCOTT CARRUTHERS Chief Of Pharmacy 323-860-5366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-04-17 |