| NPI | 1225320633 |
|---|---|
| Doing Business As | PACIFIC GRAND PHARMACY & SUPPLY |
| Entity Type | Organization |
| Authorized Contact | PETER BAGDASARIAN President 818-548-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY44176) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-11 |