| NPI | 1215596903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDOLIN VALENCIA VAZQUEZ CEO/Owner 818-617-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2020-05-28 |