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 |