| NPI | 1194865006 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | TOM HAYATA Pharmacist 213-680-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA PHY22971) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-07-26 |