| NPI | 1215258678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEL SIGNORE Owner 310-779-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IN 60006226A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60006226A) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2012-04-23 |