| NPI | 1215350327 |
|---|---|
| Doing Business As | PACIFIC GRAND PHARMACY AND SUPPLY |
| Entity Type | Organization |
| Authorized Contact | AVINASH GOVIND GHANEKAR Manager 818-500-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY51730) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2015-10-23 |