| NPI | 1245338276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MICHAEL BURMAN President 310-475-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55866) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-01-19 |