| NPI | 1215093489 |
|---|---|
| Doing Business As | LOS PORTALES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARIA ANDRZEJEK Pharmacist 415-826-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY 47122) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |