| NPI | 1215020540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL NOFEL Rph 213-623-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHA36389) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY45992) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-01-09 |